DIANE MCCOY

GOTHENBURG, NE
NPI1699179978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NE  18128)
Additional Taxonomies372500000X Chore Provider
(Licence: NE  18128)
Enumeration Date2014-10-15
Last Update Date2014-10-15
Business Address
-- DIANE MCCOY
1116 JEFFERSON ST
GOTHENBURG, NE 69138-1854
Phone number: 308-529-1368
Mailing Address
-- DIANE MCCOY
1116 JEFFERSON ST
GOTHENBURG, NE 69138-1854
Phone number: 308-529-1368