Individual
DESTINEE MYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9270 AMES AVE, OMAHA, NE 68134
(402) 444-7106
Mailing address
6114 N 79TH AVE, OMAHA, NE 68134-2174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82418
NE
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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