Individual
PRAY MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6405 READ ST, OMAHA, NE 68152-2236
(402) 779-9256
Mailing address
8620 N 96TH ST, OMAHA, NE 68122-2300
(402) 708-8209
(402) 708-8209
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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