Individual
SARAH MARIE MALESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2225
Mailing address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2225
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1641
NE
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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