Individual
ERICK THOMAS MBAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4610 GREENWOOD ST, LINCOLN, NE 68504-2048
(402) 601-5183
Mailing address
4610 GREENWOOD ST, LINCOLN, NE 68504-2048
(402) 601-5183
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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