Individual
CHRISTINE MERCEDES MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 S 65TH ST, LINCOLN, NE 68516-1906
(402) 405-9098
Mailing address
PO BOX 86, FRIEND, NE 68359-0086
(402) 540-2241
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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