Individual
KRISTA BRUNDIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4224 S 17TH ST, OMAHA, NE 68107-2130
(402) 590-3439
Mailing address
4224 S 17TH ST, OMAHA, NE 68107-2130
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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