Individual
CHRISTY LYNN DETCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
704 S 75TH ST, OMAHA, NE 68114-4621
(402) 415-6577
Mailing address
812 S 130TH ST, OMAHA, NE 68154-2914
(402) 415-6577
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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