Individual
MELISSA JOHANNE SANDRASAGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 280-2010
Mailing address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 280-2010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6829
NE
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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