Individual
SOE MEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6615 N 64TH PLZ APT 6, OMAHA, NE 68152-2218
(605) 728-4694
Mailing address
3031 N 93RD ST, OMAHA, NE 68134-4715
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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