Individual
KENDRA ANN GOTTULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1829 CENTRAL AVE, AUBURN, NE 68305-1713
(402) 274-4328
Mailing address
1829 CENTRAL AVE, AUBURN, NE 68305-1713
(402) 274-4328
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20425
NE
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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