Individual
ANTONIO R JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3959 N 40TH ST, OMAHA, NE 68111-2627
(402) 403-2757
Mailing address
3959 N 40TH ST, OMAHA, NE 68111-2627
(402) 403-2757
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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