Individual
CORI POST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 S 18TH ST, OMAHA, NE 68108-3952
(531) 299-1160
Mailing address
2316 S 18TH ST, OMAHA, NE 68108-3952
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NE
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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