NPI | 1801518030 |
---|---|
Doing Business As | VALERIYA LIFE |
Entity Type | Organization |
Authorized Contact | BRET VAN KETTELHUT Medical Director 402-253-9938 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2022-09-14 |
Last Update Date | 2022-09-14 |