Individual
JACK RUOT CHUOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 HIDCOTE DR STE 300, LINCOLN, NE 68516-5569
(402) 655-4687
Mailing address
3020 S 40TH ST, LINCOLN, NE 68506-6205
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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