Individual
MICHELLE DAVID HUESCA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2306 VICTORIA AVE, BELLEVUE, NE 68005-2954
(402) 215-6726
Mailing address
2306 VICTORIA AVE, BELLEVUE, NE 68005-2954
(402) 215-6726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2653
NV
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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