Individual
DENNIS NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5801 N 33RD ST, LINCOLN, NE 68504-4665
(402) 435-1305
Mailing address
1904 FLAGSTONE RD, LINCOLN, NE 68521-5856
(773) 678-0940
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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