Individual
MARINA BONILLA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 S 169TH AVE, OMAHA, NE 68130-1020
(402) 709-4715
Mailing address
1532 S 169TH AVE # NE68130, OMAHA, NE 68130-1020
(402) 709-4751
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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