Individual
RITA B ANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15517 LAKESIDE PLZ, OMAHA, NE 68137-5108
(402) 875-1067
Mailing address
7811 L ST STE 102, OMAHA, NE 68127-1817
(531) 867-4928
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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