Individual
WILLIE BRECKENRIDGE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 HARNEY ST STE 703, OMAHA, NE 68102-2366
(402) 346-6164
Mailing address
3721 CROWN POINT AVE, OMAHA, NE 68111-1132
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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