Provider Information for 1063092260
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BRIANNA LYNN VITERA LIMHP
Sex: Female
NPI: 1063092260
Last Updated: 2024-09-23
Certification Date: 2024-09-23
Certification Date: 2024-09-23
Details
| Name | Value | ||||||||
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| NPI | 1063092260 | ||||||||
| Enumeration Date | 2021-04-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5115 F ST OMAHA, NE 68117-2807 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 5115 F ST OMAHA, NE 68117-2807 United States Phone: 402-397-9866 | Fax:402-397-1404 | ||||||||
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