Individual
MICHELLE LEE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 N 40TH ST APT 3, OMAHA, NE 68131-1142
(402) 203-2854
Mailing address
2802 T AVE, OMAHA, NE 68107-3451
(402) 687-5169
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
149453
NE
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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