Individual
STACY LUANN VANDERSNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 E FREMONT ST, ONEILL, NE 68763-2033
(402) 336-1414
Mailing address
619 E FREMONT ST, ONEILL, NE 68763-2033
(402) 336-1414
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
CCC9207
NE
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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