Individual
JYOTIKA JERATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2231 LINCOLN RD, BELLEVUE, NE 68005-3907
(402) 291-1203
Mailing address
1809 PORT ROYAL CIR, PAPILLION, NE 68046-3238
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20537
NE
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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