Individual
MRS. JENNIFER ROSE LESAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3905 N 52ND ST, OMAHA, NE 68104-2909
(402) 457-5905
Mailing address
5826 S 135TH CIR, OMAHA, NE 68137-3007
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
63663
NE
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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