Individual
JACQULINE VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4316 N 32ND ST, OMAHA, NE 68111-2712
(701) 391-9827
Mailing address
4316 N 32ND ST, OMAHA, NE 68111-2712
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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