Individual
CHA MU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4907 N 57TH ST, OMAHA, NE 68104-2101
(531) 375-9357
Mailing address
4907 N 57TH ST, OMAHA, NE 68104-2101
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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