Individual
ASHLEY ELIZABETH MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S 37TH ST APT 2, OMAHA, NE 68131-3149
(402) 601-8460
Mailing address
104 S 37TH ST APT 2, OMAHA, NE 68131-3149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83001
NE
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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