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Organization

G2 AESTHETICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA LYNN WACHAL APRN (APRN/MANAGER)
(402) 881-9609
Entity
Organization

Contact information

Practice address
17785 MASON ST STE 105, OMAHA, NE 68118-3526
(402) 302-2280
Mailing address
17785 MASON ST STE 105, OMAHA, NE 68118-3526
(402) 302-2280

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
02/16/2026
Last updated
02/16/2026
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