Individual
MRS. HOLLAN RHAE DRAHOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
10520 S 123RD AVE, PAPILLION, NE 68046-4393
(402) 514-3650
Mailing address
4403 S 153RD CIR, OMAHA, NE 68137-5125
(402) 640-3058
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
78435
NE
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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