Individual
JULIE BACKORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4251 N 164TH ST, OMAHA, NE 68116-2922
(402) 214-8047
Mailing address
4251 N 164TH ST, OMAHA, NE 68116-2922
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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