Individual
ALICIA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3464 OHIO ST APT 101, OMAHA, NE 68111-3668
(402) 451-2076
Mailing address
4805 Y ST, OMAHA, NE 68117-2547
(402) 208-6006
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
H12757556
NE
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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