Individual
HSA EH K LU SOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 W COMMODORE BLVD, LINCOLN, NE 68522-1533
(402) 580-6371
Mailing address
1415 W COMMODORE BLVD, LINCOLN, NE 68522-1533
(402) 580-6371
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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