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Individual

MISS KRISTINA DEE HILTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7915 N 30TH ST, OMAHA, NE 68112-2418
(402) 827-6074
Mailing address
3106 SHERIDAN RD, BELLEVUE, NE 68123-2372
(402) 917-8467

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2463
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02615
PT STATE LICENSE NUMBER
IA
01
2463
PT STATE LICENSE NUMBER
NE
Enumeration date
03/18/2007
Last updated
07/08/2007
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