Individual
MRS. SOUHAM T HABIB I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ETC
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1905
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1905
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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