Individual
KENDRA K JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E FREMONT ST, ONEILL, NE 68763-1849
(402) 370-0432
Mailing address
525 E FREMONT ST, ONEILL, NE 68763-1849
(402) 370-0432
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
77568346
NE
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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