Individual
MISS AMY JO MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 R AVE APT A2, KEARNEY, NE 68847-2302
(337) 202-9209
Mailing address
4010 R AVE APT A2, KEARNEY, NE 68847-2302
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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