Individual
MR. LORETO JR CARBONILLA BANDIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16134 W STREET, OMAHA, NE 68135
(531) 210-5736
Mailing address
204 GALVIN RD N, BELLEVUE, NE 68005
(402) 769-9225
(402) 585-0081
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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