Individual
JEANETTE MARIE WACHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 WEDGEWOOD DR, LINCOLN, NE 68510-2431
(402) 441-3768
Mailing address
1250 DAKOTA ST, LINCOLN, NE 68502-4435
(402) 441-3768
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPS-100
NE
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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