Individual
JACOB VILLAFUERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18313 JEFFERSON ST, OMAHA, NE 68135-1759
(402) 319-8244
Mailing address
5804 S 140TH AVE, OMAHA, NE 68137-2845
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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