Individual
MEGAN VANDERVORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 S 96TH ST, OMAHA, NE 68127-1210
(402) 800-3787
Mailing address
9744 MOCKINGBIRD DR, OMAHA, NE 68127-2013
(402) 800-3787
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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