Individual
ELISE GENEVA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7821 TERRY DR, LA VISTA, NE 68128-3943
(402) 898-0463
Mailing address
7821 TERRY DR, LA VISTA, NE 68128-3943
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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