Individual
CHEVY-ANN MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PINE ST, SUTHERLAND, NE 69165-2003
(402) 853-4995
Mailing address
130 PINE ST, SUTHERLAND, NE 69165-2003
(308) 650-0732
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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