Individual
DETRON PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15806 CLAY PLZ APT 225, BENNINGTON, NE 68007-5098
(402) 415-6808
Mailing address
15806 CLAY PLZ APT 225, BENNINGTON, NE 68007-5098
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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