Individual
PIERRE FANTES MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11025 M ST APT 805, OMAHA, NE 68137-2353
(773) 899-4772
Mailing address
11025 M ST APT 805, OMAHA, NE 68137-2353
(773) 899-4772
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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