Individual
DIANNA JESSICA UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1905
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1905
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476003955
—
NE
Enumeration date
05/23/2022
Last updated
05/23/2022
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