Individual
JACY JENAE SPARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5314 HOLMES ST, OMAHA, NE 68117-1835
(402) 201-4972
Mailing address
5314 HOLMES ST, OMAHA, NE 68117-1835
(402) 201-4972
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
04/22/2019
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