Individual
MICHAEL L REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 N KLINZMAN AVE, MC COOL JUNCTION, NE 68401-3027
(402) 710-0713
Mailing address
PO BOX 144, MC COOL JUNCTION, NE 68401-0144
(402) 710-0713
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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