Individual
AYDEN ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 S 49TH ST, LINCOLN, NE 68510-3803
(402) 560-1536
Mailing address
718 S 49TH ST, LINCOLN, NE 68510-3803
(402) 560-1536
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
H14141225
NE
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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