Individual
JOVANI E HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7714 TERRY DR, LA VISTA, NE 68128-3940
(402) 885-0878
Mailing address
7714 TERRY DR, LA VISTA, NE 68128-3940
(402) 885-0878
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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