Individual
MALLORY EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 GALVIN RD S STE A, BELLEVUE, NE 68005-2207
(402) 939-6623
Mailing address
919 GALVIN RD S STE A, BELLEVUE, NE 68005-2207
(402) 939-6623
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
145904
NE
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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