Individual
CORITA A BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 S 16TH ST APT 805, OMAHA, NE 68102-2612
(469) 658-9640
Mailing address
405 S 16TH ST APT 805, OMAHA, NE 68102-2612
(469) 658-9640
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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