Individual
KELYSIBELLE CRESPO BONETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5311 S 67TH ST, LINCOLN, NE 68516-2321
(402) 601-8858
Mailing address
5311 S 67TH ST, LINCOLN, NE 68516-2321
(402) 601-8858
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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