Individual
JOHN HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2017 N 96TH AVE, OMAHA, NE 68134-5813
(402) 415-1533
Mailing address
2017 N 96TH AVE, OMAHA, NE 68134-5813
(402) 415-1533
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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