Miss. Martina Evonne Bascom
Miss. Martina Evonne Bascom is an Attendant Care Provider in Lincoln, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.
- Licensed in
- NE
- In the registry since
- 2023
Practice location Address checks out
700 Penrose DrLincoln, NE 68521
Phone: (402) 436-1222
Fax: (402) 458-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X (NE) |
|---|
Record details
| NPI number | 1487367652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2023 |
| Last updated in NPPES | January 3, 2023 |
| Certification date | January 3, 2023 |
| Mailing address | 5905 O St, Lincoln, NE 68510-2235 |
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