Individual
DARIE ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20860 T PLZ, ELKHORN, NE 68022-4467
(402) 504-0957
Mailing address
5720 S 77TH ST, RALSTON, NE 68127-4202
(531) 200-0563
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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