Individual
PAMELA LYNN GOTTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SOUTH ST, GRETNA, NE 68028-7865
(402) 332-3341
Mailing address
801 SOUTH ST, GRETNA, NE 68028-7865
(402) 332-3341
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
41307
NE
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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