MARTINA EVONNE BASCOM

LINCOLN, NE
NPI1487367652
Former NameMARTINA EVONNE YOW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2023-01-03
Last Update Date2023-01-03
Business Address
Miss MARTINA EVONNE BASCOM
700 PENROSE DRIVE
LINCOLN, NE 68521
Phone number: 402-436-1222
Mailing Address
Miss MARTINA EVONNE BASCOM
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1657
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