Individual
JESSICA HEREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 S 134TH AVE, OMAHA, NE 68144-3516
(402) 312-5969
Mailing address
3015 S 134TH AVE, OMAHA, NE 68144-3516
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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