Individual
WILLIAM HOWARD JEFFERSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2887 CORBY ST, OMAHA, NE 68111-3322
(402) 594-9037
Mailing address
2887 CORBY ST, OMAHA, NE 68111-3322
(402) 594-9037
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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