Individual
MARY GRACE GENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 10TH AVE, SIDNEY, NE 69162-1609
(308) 249-6728
Mailing address
PO BOX 278, POTTER, NE 69156-0278
(970) 580-2197
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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