Individual
MS. TERUMI DEGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
1715 S 26TH ST, LINCOLN, NE 68502-3061
(402) 430-6040
Mailing address
1715 S 26TH ST, LINCOLN, NE 68502-3061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1105751
NE
Other
Enumeration date
06/02/2012
Last updated
06/02/2012
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