Individual
ANTHONY DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4123 TEXAS AVE, GRAND ISLAND, NE 68803-1055
(308) 339-9023
Mailing address
4132 TEXAS AVE, GRAND ISLAND, NE 68803-1054
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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