Individual
ROXANNE M VIPOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3622 S 204TH AVE, ELKHORN, NE 68022-2999
(308) 227-9508
Mailing address
3622 S 204TH AVE, ELKHORN, NE 68022-2999
(308) 227-9508
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
24581784
NE
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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