Individual
IDA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2301 SW 17TH ST, LINCOLN, NE 68522-2439
(402) 432-6680
Mailing address
2301 SW 17TH ST, LINCOLN, NE 68522-2439
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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