Individual
MAKENZIE MARIE ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6440 N 66TH ST, OMAHA, NE 68104-1138
(402) 619-2599
Mailing address
1915 S 44TH ST APT 303, OMAHA, NE 68105-2842
(402) 227-5975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
152416
NE
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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