Individual
EMMA DECOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3905 N 52ND ST, OMAHA, NE 68104-2909
(531) 299-1420
Mailing address
3215 CUMING ST, OMAHA, NE 68131-2000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
92813
NE
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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