Individual
MARY KITZMAN-PRISMANTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4724 S 78TH ST, RALSTON, NE 68127-2820
(402) 661-0204
Mailing address
4724 S 78TH ST, RALSTON, NE 68127-2820
(402) 661-0204
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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