Trace Thomas Van Briesen

NPI #1275332561 in La Vista, Nebraska

Provider Information

NPI Number: 1275332561
Entity Type: Individual
Name: Trace Thomas Van Briesen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Mar 10, 2025
Last Updated: Mar 10, 2025

Practice Location

Address: 7609 S 101ST ST
City: La Vista
State: Nebraska
ZIP Code: 68128-8261
Phone: (402) 981-5547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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