Individual
JAKEYIA BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
11635 ARBOR ST, OMAHA, NE 68144-5000
(402) 506-9368
Mailing address
4317 N 54TH ST, OMAHA, NE 68104-2819
(402) 810-2334
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
100227
NE
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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