Individual
BANNA JO MUIRHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W 3RD ST, AXTELL, NE 68924-3408
(308) 440-6333
Mailing address
600 W 3RD ST, AXTELL, NE 68924-3408
(308) 440-6333
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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