Individual
BRECK R SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5600 S 48TH ST, LINCOLN, NE 68516-4199
(402) 474-4000
Mailing address
2701 FLETCHER AVE APT 208, LINCOLN, NE 68504-1125
(402) 705-8020
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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