Individual
MARY JO WELLENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20614 PINE ST, ELKHORN, NE 68022-2667
(402) 690-4341
Mailing address
20614 PINE ST, ELKHORN, NE 68022-2667
(402) 690-4341
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
02/06/2025
Last updated
02/20/2025
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