Individual
ANNUARITE CHANCELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 N 75TH AVE # NEUSA, OMAHA, NE 68114-1702
(402) 401-1591
Mailing address
1512 N 75TH AVE # NEUSA, OMAHA, NE 68114-1702
(402) 401-1591
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
H14165089
NE
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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