Individual
JERRY L MARCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14916 REDMAN AVE, OMAHA, NE 68116-1448
(402) 637-2373
Mailing address
14916 REDMAN AVE, OMAHA, NE 68116-1448
(402) 637-2373
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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