Individual
DELMIS FONSECA PANEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 W 1ST ST, GRAND ISLAND, NE 68803-5408
(308) 383-5373
Mailing address
1404 W JOHN ST, GRAND ISLAND, NE 68801-6618
(308) 383-5373
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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