Individual
JOHNATHAN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
Mailing address
3727 S 74TH ST APT 206, OMAHA, NE 68124-8414
(307) 274-5480
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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