Individual
MARCELLA BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 N 19TH ST, OMAHA, NE 68110-1608
(402) 812-1241
Mailing address
4121 N 19TH ST, OMAHA, NE 68110-1608
(402) 812-1241
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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