Individual
JOAQUIN A MONCADA BRISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 E CARY ST, PAPILLION, NE 68046-2156
(402) 898-0400
Mailing address
303 E CARY ST, PAPILLION, NE 68046-2156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
09/11/2023
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