Most Relevant Information
Provider Data
| NPI Number: | 1003652728 |
| Provider Name: | ABIGAIL MARIE CLARKE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/02/2024 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
42ND AND EMILE
OMAHA
NE
681982002
Practice Location Phone/Fax
| Phone: | 4025595600 |
| Fax: |
Provider Mailing Location
42ND AND EMILE
OMAHA
NE
681980001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |