Individual
BILLIE JO PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5156 S 124TH AVE, OMAHA, NE 68137-2129
(402) 306-7907
Mailing address
5156 S 124TH AVE, OMAHA, NE 68137-2129
(402) 306-7907
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/06/2025
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