Isaline Bien Inecha Toe
Contractor in Gretna, NE. Individual provider (NPI-1).
NPI number1093512972
StatusActive
Last updated in NPPESFeb 27, 2025
Details
- NPI
- 1093512972
- Entity type
- Individual (NPI-1)
- Name
- Isaline Bien Inecha Toe
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2025
- Certification date
- Feb 27, 2025
- Last updated
- Feb 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
12125 S 204th AveGretna, NE 68028-4080
Phone 631-248-1258
Mailing address
12125 S 204th AveGretna, NE 68028-4080
Phone 631-248-1258
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