Individual
LARISA USTIMCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 REDSTONE RD, LINCOLN, NE 68521-5861
(402) 430-6705
Mailing address
1941 REDSTONE RD, LINCOLN, NE 68521-5861
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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