Individual
MELISSA THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4980 S 118TH ST, OMAHA, NE 68137-2200
(402) 896-3884
Mailing address
4980 S 118TH ST, OMAHA, NE 68137-2200
(402) 896-3884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78427
NE
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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