Individual
CARLYSSA WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 LONGO DR, BELLEVUE, NE 68005-7919
(402) 291-4411
Mailing address
1501 SUNSHINE BLVD, BELLEVUE, NE 68123-2426
(402) 320-5282
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3211
NE
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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