Individual
ELISE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 E MILITARY AVE, FREMONT, NE 68025-5489
(402) 317-3228
Mailing address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 450-3679
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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