Individual
CARI HEATHER HAGEMOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
12110 PORT GRACE BLVD STE 101, LA VISTA, NE 68128-3190
(402) 680-2396
Mailing address
12924 NICHOLAS ST, OMAHA, NE 68154-1254
(402) 680-2397
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13944
NE
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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