Individual
MI AYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4703 N 66TH ST APT 45, OMAHA, NE 68104-1957
(531) 272-5462
Mailing address
3133 N 47TH AVE, OMAHA, NE 68104-3723
(531) 272-5462
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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