Individual
RAFAEL AGOSTO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 S WEST ST APT 12, VALLEY, NE 68064-9756
(402) 403-2513
Mailing address
PO BOX 642262, OMAHA, NE 68164-8262
(402) 403-2513
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
64106645
NE
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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