Individual
BREJEA HANON GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 N 24TH ST APT 105, LINCOLN, NE 68521-1332
(402) 301-6702
Mailing address
4301 N 24TH ST APT 105, LINCOLN, NE 68521-1332
(402) 301-6702
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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