Individual
EHLA PAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4233 GRAND AVE, OMAHA, NE 68111-1852
(402) 973-2867
Mailing address
3031 N 93RD ST, OMAHA, NE 68134-4715
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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