Individual
WINSTON BOLIVAR BROCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 APACHE AVE, HASTINGS, NE 68901-2809
(402) 469-1516
Mailing address
1710 APACHE AVE, HASTINGS, NE 68901-2809
(402) 469-1516
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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