Individual
ELISABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
13057 W CENTER RD, OMAHA, NE 68144-3748
(925) 515-1099
Mailing address
13057 W CENTER RD, OMAHA, NE 68144-3748
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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