Individual
CAROL REICHENBEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 S 9TH AVE, BROKEN BOW, NE 68822-2475
(308) 872-0089
Mailing address
44104 DRIVE 803, BROKEN BOW, NE 68822-5560
(308) 870-2269
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
G04005417
NE
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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