Individual
ARIEL GUSTAVSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 S 46TH ST, OMAHA, NE 68106-3304
(531) 299-2501
Mailing address
2235 S 46TH ST, OMAHA, NE 68106-3304
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
87686
NE
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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