| NPI | 1174824049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY JOAN HOUCK Owner Operator 308-472-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110285) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-24 |