DANIEL LAKE

Chore Provider

NPI: 1962200071Individual

Specialties, Licenses & Credentials

Chore ProviderPrimary

Chore Provider

Code: 372500000X

157987(NE)

Contact & Hours

Address: 14238 PIERCE PLZ
OMAHA, NE 68144
Phone: (402) 943-6937

Location

Practice Location

14238 PIERCE PLZ, OMAHA, NE

Quick Facts

NPI: 1962200071
Entity Type: Individual
Gender: X
Medicare: Not confirmed
Specialties: 1
Locations: 1

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