Individual
CORA VILLAGOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 NEWPORT AVE, SUITE 304, OMAHA, NE 68152-2164
(402) 572-2333
Mailing address
8871 KIMBALL ST, OMAHA, NE 68122-5211
(402) 707-3605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111359
NE
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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