Individual
JHONAS ERNESTO REBOLLEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 N 159TH ST, OMAHA, NE 68118-2315
(402) 917-1396
Mailing address
1412 N 159TH ST, OMAHA, NE 68118-2315
(402) 917-1396
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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