Individual
DIANE ELOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 PARK ST, BELLWOOD, NE 68624-3046
(402) 538-4805
Mailing address
612 PARK ST, BELLWOOD, NE 68624-3046
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
76158
NE
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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