Individual
JOSE OSMARO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 EMILINE ST, BELLEVUE, NE 68147-1422
(402) 904-2612
Mailing address
2825 EMILINE ST, BELLEVUE, NE 68147-1422
(402) 904-2612
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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