Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 495 | NE |
NPI | 1811963259 |
---|---|
Provider Name | Ms. Marta Kay Sailors |
First Address | Omaha, NE 68144-5905 |
Second Address | Omaha, NE 68144-5905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2006 |
Last Update Date | 08/07/2007 |