Individual
VICTORIYA DERUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6825 WHITEWATER LN, LINCOLN, NE 68521-8996
(402) 202-9029
Mailing address
6825 WHITEWATER LN, LINCOLN, NE 68521-8996
(402) 202-9029
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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