Individual
WYNELLE TOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 N 36TH ST, OMAHA, NE 68111-2207
(531) 299-7111
Mailing address
4410 N 36TH ST, OMAHA, NE 68111-2207
(531) 299-7111
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
31071
NE
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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