Individual
MARILOU REYES JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 HOSPITAL PARKWAY, BEATRICE, NE 68310-6906
(402) 228-3344
Mailing address
4800 HOSPITAL PARKWAY, BEATRICE, NE 68310-6906
(402) 228-3344
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD26013
OR
Other
Enumeration date
01/26/2006
Last updated
09/24/2012
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