Individual
FANTASIA R BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 N 61ST ST, LINCOLN, NE 68507-2404
(402) 807-8911
Mailing address
3140 O ST, LINCOLN, NE 68510-1522
(402) 805-2190
(402) 805-2190
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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