Individual
JACQUELINE O CHANLATTE-GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9015 ARBOR ST STE 144, OMAHA, NE 68124-2072
(402) 588-0678
(531) 772-0639
Mailing address
9015 ARBOR ST STE 144, OMAHA, NE 68124-2072
(402) 588-0678
(531) 772-0639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19943
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024986800
—
NE
Enumeration date
07/25/2006
Last updated
10/28/2025
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