Individual
MR. JENOM GANDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4920 S 65TH ST, LINCOLN, NE 68516-1906
(402) 730-8738
Mailing address
7910 S 83RD ST, LINCOLN, NE 68516-3930
(402) 730-8738
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NE
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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