Individual
RYAN ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5614 WESTERN AVE, OMAHA, NE 68132-2024
(308) 379-4055
Mailing address
5614 WESTERN AVE, OMAHA, NE 68132-2024
(308) 379-4405
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
139114
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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