Individual
QUINN F GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 OTOE ST, LINCOLN, NE 68506-3245
(716) 868-3655
Mailing address
2215 S 13TH ST, LINCOLN, NE 68502-3605
(402) 436-1166
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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