Individual
MAKENZY POVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 S 78TH AVE, OMAHA, NE 68124-1407
(402) 690-6310
Mailing address
7922 S 68TH STREET CIR, LA VISTA, NE 68128-4380
(402) 690-6310
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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