Individual
BINA BASTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444MARINDA STREET, OMAHA, NE 68106
(531) 299-7010
(531) 299-1778
Mailing address
4444 MARINDA ST, OMAHA, NE 68105-8500
(331) 299-7010
(531) 299-1778
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
59137
NE
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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