Individual
MRS. MICHELLE GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5616 L ST, OMAHA, NE 68117-1333
(531) 299-2900
Mailing address
5616 L ST, OMAHA, NE 68117-1333
(531) 299-2900
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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