Mary Kitzman-Prismantas

NPI #1205624863 in Ralston, Nebraska

Provider Information

NPI Number: 1205624863
Entity Type: Individual
Name: Mary Kitzman-Prismantas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Apr 25, 2025
Last Updated: Apr 25, 2025

Practice Location

Address: 4724 S 78TH ST
City: Ralston
State: Nebraska
ZIP Code: 68127-2820
Phone: (402) 661-0204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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