Organization
ELITE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA K. GREEN D.C. (OWNER)
(620) 330-6602
Entity
Organization
Contact information
Practice address
10208 S 168TH AVE, SUITE 4, OMAHA, NE 68136-4185
(620) 330-6602
Mailing address
10208 S 168TH AVE, SUITE 4, OMAHA, NE 68136-4185
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1799
NE
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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