Individual
JACOB ENRIQUE MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2607 NORTHWOOD CIR, PAPILLION, NE 68133-3353
(808) 292-3353
Mailing address
2607 NORTHWOOD CIR, PAPILLION, NE 68133-3353
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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