Individual
JEWELL DENISE KIRKSEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5337 N 45TH ST, OMAHA, NE 68104-1413
(402) 612-6062
Mailing address
5337 N 45TH ST, OMAHA, NE 68104-1413
(402) 612-6062
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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