Individual
MRS. MELANIE RUTH VAN BLARCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11717 S 216TH ST, GRETNA, NE 68028-4729
(402) 332-3265
Mailing address
18657 HAMPTON DR, OMAHA, NE 68136-2158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75080
NE
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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