Individual
STEPHANIE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 MARK ST, BELLEVUE, NE 68123-1079
(402) 590-6554
Mailing address
4410 MARK ST, BELLEVUE, NE 68123-1079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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