Individual
EDEN FAYE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10525 N ST, OMAHA, NE 68127-1930
(402) 630-8704
Mailing address
955 N 28TH AVE, OMAHA, NE 68131-1503
(402) 570-4673
(402) 884-9018
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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