Individual
MILEYSI MESA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1017 W 5TH ST, HASTINGS, NE 68901-5046
(308) 930-4013
Mailing address
307 CARDINAL DR, GRAND ISLAND, NE 68803-7001
(308) 930-4013
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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