MISA MISA

Chore Provider

NPI: 1629967492Individual

Specialties, Licenses & Credentials

Chore ProviderPrimary

Chore Provider

Code: 372500000X

Contact & Hours

Address: 4611 S 96TH STREET
OMAHA, NE 68127
Phone: (402) 987-8059

Location

Practice Location

4611 S 96TH STREET, OMAHA, NE

Quick Facts

NPI: 1629967492
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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