Individual
JERMAINE LAMAR MOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4601 S 50TH ST STE 213, OMAHA, NE 68117-1355
(402) 813-8270
Mailing address
4601 S 50TH ST STE 213, OMAHA, NE 68117-1355
(402) 813-8270
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
NE
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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