Individual
SAMANTHA ENAI MULLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 S 26TH ST, OMAHA, NE 68105-2313
(402) 214-3218
Mailing address
4806 SIERRA ST, PAPILLION, NE 68133-4802
(402) 214-3218
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
H13216535
NE
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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