Individual
MRS. MELISSA KAY HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
411 SULLIVAN CIR, BELLEVUE, NE 68005-5817
(402) 905-6941
Mailing address
411 SULLIVAN CIR, BELLEVUE, NE 68005-5817
(402) 905-6941
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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