Individual
LISA MARIE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 7TH AVE, SCOTTSBLUFF, NE 69361-3200
(308) 672-1229
Mailing address
1414 7TH AVE, SCOTTSBLUFF, NE 69361-3200
(308) 672-1229
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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