Individual
SANTOS VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5801 HIDCOTE DR, LINCOLN, NE 68516-5568
(402) 613-2463
Mailing address
5801 HIDCOTE DR STE 300, LINCOLN, NE 68516-5569
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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