Individual
VIMALA JAYAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
1710 COLUMBIA CIR, GRAND ISLAND, NE 68801-7471
(308) 389-9130
(308) 389-9130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20486
NE
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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