Individual
ELISHA ANDREA POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 HUNTINGTON AVE APT 7, LINCOLN, NE 68504-3661
(402) 202-2741
Mailing address
1321 WASHINGTON ST, LINCOLN, NE 68502-2359
(531) 248-0090
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
22572332
NE
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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