Individual
PAMELA E HOMOLKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 386, HENDERSON, NE 68371-0386
(308) 216-2065
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(308) 216-2065
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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