Individual
MR. BRENT ALBERT URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13520 COTTNER ST, OMAHA, NE 68137-1630
(402) 804-8668
Mailing address
13520 COTTNER ST, OMAHA, NE 68137-1630
(402) 804-8668
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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