Individual
NATHANIEL GENE GLANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6028 S 42ND ST, OMAHA, NE 68107-3703
(402) 714-6369
Mailing address
6028 S 42ND ST, OMAHA, NE 68107-3703
(402) 714-6369
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
H13194305
NE
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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