RIDLEY THERESA LOREE

OMAHA, NE
NPI1497431050
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  3216)
Additional Taxonomies363A00000X Physician Assistant
(Licence: IA  130521)
Enumeration Date2023-06-27
Last Update Date2025-02-26
Business Address
RIDLEY THERESA LOREE PAC
2725 S 144TH ST STE 212
OMAHA, NE 68144-5253
Phone number: 402-609-3000
Mailing Address
RIDLEY THERESA LOREE PAC
2725 S 144TH ST STE 212
OMAHA, NE 68144-5253
Phone number: 402-609-3000