Individual
MRS. ROBERTA LEE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2564 SPAULDING ST, OMAHA, NE 68111-2957
(402) 453-2307
Mailing address
2564 SPAULDING ST, OMAHA, NE 68111-2957
(402) 453-2307
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NE
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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