Individual
MELANI BONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E 6TH ST, OGALLALA, NE 69153-2208
(480) 387-0015
Mailing address
305 E 6TH ST, OGALLALA, NE 69153-2208
(480) 387-0015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1078310
NE
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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