Individual
THERESA MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 S 76TH ST, OMAHA, NE 68114-4519
(402) 390-2100
Mailing address
909 S 76TH ST, OMAHA, NE 68114-4519
(402) 390-2100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1005
NE
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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