Individual
ALYSSA ROCHELLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E MISSION AVE, BELLEVUE, NE 68005-5220
(402) 933-0680
Mailing address
3119 CLAY ST, OMAHA, NE 68112-1726
(712) 899-9474
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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