Individual
DEVARIO COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2326 N 45TH ST, OMAHA, NE 68104-4509
(531) 366-2555
Mailing address
2326 N 45TH ST, OMAHA, NE 68104-4509
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
7665908
WI
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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