Individual
JAMES A JAKSHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1731 N C ST, FREMONT, NE 68025-3401
(402) 721-4180
Mailing address
1731 N C ST, FREMONT, NE 68025-3401
(402) 721-4180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4190
NE
Other
Enumeration date
11/30/2009
Last updated
10/15/2015
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