Individual
JEREMY J MONTANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2213 WA CON DA RD, UNION, NE 68455-2485
(402) 660-5457
Mailing address
2213 WA CON DA RD, UNION, NE 68455-2485
(402) 660-5457
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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