Individual
CONSTANCE M GENDVILLE-KEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 E 26TH ST, HASTINGS, NE 68901-7358
(402) 902-9347
Mailing address
815 E 26TH ST, HASTINGS, NE 68901-7358
(402) 902-9347
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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