Individual
HEATHER UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2635 N 63RD ST, LINCOLN, NE 68507-2422
(402) 436-1303
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1657
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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