Individual
JOHN BRANDON DE'MARCO LADD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 N 16TH ST, OMAHA, NE 68102-4419
(402) 708-8932
Mailing address
1015 N 16TH ST, OMAHA, NE 68102-4419
(402) 708-8932
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
H13087788
NE
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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