Individual
LATISHA W MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4545 GRAND AVE, OMAHA, NE 68104-2441
(402) 250-4067
Mailing address
3332 SPAULDING ST # 3332, OMAHA, NE 68111-2849
(402) 452-0212
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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