Individual
NINA DAVIDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10025 T PLZ, OMAHA, NE 68127-3048
(402) 339-2773
Mailing address
5109 N 160TH CIR, OMAHA, NE 68116-8044
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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