Individual
SANTA RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9146 SUMMIT ST, OMAHA, NE 68122-3047
(402) 706-4468
Mailing address
9146 SUMMIT ST, OMAHA, NE 68122-3047
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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