Individual
BEVERLY CODR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3206 RAASCH DR STE 300, NORFOLK, NE 68701-3175
(402) 698-9812
Mailing address
410 N 3RD ST, ELGIN, NE 68636-3202
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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