Individual
KYLA ARALEA GUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 S 20TH ST, LINCOLN, NE 68502-2709
(402) 436-1161
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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