Individual
MU THAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13314 KINGSWOOD DR APT 4, OMAHA, NE 68144-3447
(402) 871-3221
Mailing address
10824 OLD MILL RD STE 10-5, OMAHA, NE 68154-2642
(531) 999-3254
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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