Individual
RAE'VAN GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 S 157TH ST, OMAHA, NE 68136-1177
(402) 510-4469
Mailing address
7925 S 157TH ST, OMAHA, NE 68136-1177
(402) 510-4469
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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