Individual
GLENN P JUDEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9012 Q ST, OMAHA, NE 68127-3549
(402) 690-8159
Mailing address
14823 PAUL PLZ, OMAHA, NE 68154-1160
(402) 690-8159
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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