Individual
SHAUN M METOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6344 N 36TH ST, OMAHA, NE 68111-1110
(402) 957-5290
Mailing address
1847 N 17TH ST, OMAHA, NE 68110-2416
(402) 957-5290
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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