Individual
ANDREA JEAN GENEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4519 S 24TH ST, OMAHA, NE 68107-1817
(531) 299-2781
(531) 299-2818
Mailing address
4519 S 24TH ST, OMAHA, NE 68107-1817
(531) 299-2781
(531) 299-2818
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
106397
IA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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