Individual
JOSEPH WILLIAM SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 FAIRVIEW ST, BELLEVUE, NE 68147-2661
(402) 505-1316
Mailing address
905 FAIRVIEW ST, BELLEVUE, NE 68147-2661
(402) 505-1316
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
100000000581
NE
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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