Individual
HEATHER MUNDERLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 NORMAL BLVD, LINCOLN, NE 68506-6828
(402) 742-0311
Mailing address
4320 S 48TH ST APT 1, LINCOLN, NE 68516-1203
(402) 617-7722
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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