Individual
EVEREST R LEGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4232 BROWNE ST, OMAHA, NE 68111-1827
(531) 232-5257
(531) 232-5257
Mailing address
4232 BROWNE ST, OMAHA, NE 68111-1827
(531) 232-5257
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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