Individual
ISMAEL CHAPARRO DE LA O
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 KAUII DR, BELLEVUE, NE 68005-4135
(402) 718-3442
Mailing address
1004 KAUII DR, BELLEVUE, NE 68005-4135
(402) 718-3442
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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