Individual
CHEYENNE JANICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7630 ONTARIO ST, OMAHA, NE 68124-4035
(402) 213-1317
Mailing address
7630 ONTARIO ST, OMAHA, NE 68124-4035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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