Individual
MR. LARRY DERKSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17131 JOANNE DR, OMAHA, NE 68136-4156
(402) 639-8407
(402) 639-8407
Mailing address
17131 JOANNE DR, OMAHA, NE 68136-4156
(402) 639-8407
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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