Individual
MR. JURRY LAMUG BATANGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(800) 451-5796
Mailing address
7309 ONTARIO ST APT 302, OMAHA, NE 68124-8425
(808) 253-8399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77454
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XLPR000026152520
HMSA BLUE CROSS BLUE SHIELD
HI
Enumeration date
03/07/2014
Last updated
03/07/2014
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