NDAIZEYE IMMACULEE

Contractor

Active Individual
NPI: 1982313086

Practice Address

4312 BURDETTE ST
Omaha, NE 68111

Phone: (402) 804-9568

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes H13603076 (NE)

Frequently Asked Questions

NPI 1982313086 is the National Provider Identifier for NDAIZEYE IMMACULEE, a Contractor provider located in Omaha, NE. This NPI was enumerated on November 16, 2022.
NDAIZEYE IMMACULEE practices at 4312 BURDETTE ST, Omaha, NE 68111.

Quick Facts

NPI
1982313086
Type
Individual
Enumerated
Nov 16, 2022
Last Updated
Nov 16, 2022

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