Individual
JASMINE DORTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3132 FONTENELLE BLVD, OMAHA, NE 68104-3777
(402) 515-6946
Mailing address
3132 FONTENELLE BLVD, OMAHA, NE 68104-3777
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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