Individual
PAW RIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 EMMET ST, OMAHA, NE 68111-2816
(402) 999-2479
Mailing address
3031 N 93RD ST, OMAHA, NE 68134-4715
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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