Individual
ANGELINA JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 N 177TH ST, OMAHA, NE 68116-2281
(402) 278-1157
Mailing address
8358 CASS ST, OMAHA, NE 68114-3530
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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