Individual
MRS. JOLENE LOREE DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPNC
Contact information
Practice address
1715 26TH ST, CENTRAL CITY, NE 68826-9501
(308) 946-3015
(308) 946-5914
Mailing address
12849 A RD, CLARKS, NE 68628-6001
(308) 548-8114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
465
NE
164W00000X
Licensed Practical Nurse
Primary
6675
NE
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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