Individual
NATHENDANILLE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12720 S 33RD ST, BELLEVUE, NE 68123-1859
(402) 917-5031
Mailing address
12720 S 33RD ST, BELLEVUE, NE 68123-1859
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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