Individual
JUAN ANTONIO ESCAMILLA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 SOUTH ST, GERING, NE 69341-1619
(308) 635-0910
Mailing address
33 SOUTH ST, GERING, NE 69341-1619
(308) 631-0166
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
D21030188
NE
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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