Individual
MR. TRENT MATTHEW MENGEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
8630 S 98TH CIR, LAVISTA, NE 68128-7013
(402) 932-5844
Mailing address
8630 S 98TH CIR, LAVISTA, NE 68128-7013
(402) 932-5844
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
1571
NE
Other
Enumeration date
03/25/2006
Last updated
07/08/2007
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