MISPA KELLYPRIDE BIH NGANTAR

OMAHA, NE
NPI1518763689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NE  115849)
Enumeration Date2025-02-20
Last Update Date2025-02-20
Business Address
MISPA KELLYPRIDE BIH NGANTAR
2919 N 153RD CIR
OMAHA, NE 68116-8134
Phone number: 402-218-0808
Mailing Address
MISPA KELLYPRIDE BIH NGANTAR
2919 N 153RD CIR
OMAHA, NE 68116-8134
Phone number: 402-218-0808
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