Individual
BRENDA L LIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
637 12TH AVE, SAINT PAUL, NE 68873-6865
(308) 750-0105
Mailing address
915 GRAND ST, SAINT PAUL, NE 68873-1918
(308) 750-0105
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
9815
NE
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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