Individual
ASIA SOCKRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1219 LEAVENWORTH ST, OMAHA, NE 68102-3214
(712) 210-1743
Mailing address
1219 LEAVENWORTH ST, OMAHA, NE 68102-3214
(712) 210-1743
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2176
NE
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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