Individual
KENDRA S VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W FRONT ST, EMERSON, NE 68733-4044
(402) 404-0231
Mailing address
601 W FRONT ST, EMERSON, NE 68733-4044
(402) 404-0231
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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