Individual
GENE ALLEN BOEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19854 HACKBERRY DR, GRETNA, NE 68028-4546
(402) 213-9207
Mailing address
19854 HACKBERRY DR, GRETNA, NE 68028-4546
(402) 213-9207
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47818957
—
NE
Enumeration date
10/03/2022
Last updated
10/03/2022
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