Individual
LUCILA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4506 S 15TH ST, OMAHA, NE 68107-2120
(913) 274-8986
Mailing address
4506 S 15TH ST, OMAHA, NE 68107-2120
(913) 274-8986
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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