Individual
JENNIFER REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6949 S 110TH ST, LA VISTA, NE 68128-5721
(402) 597-4947
Mailing address
6949 S 110TH ST, LA VISTA, NE 68128-5721
(402) 597-4947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94049
NE
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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