Individual
JENNIFER J ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 SAC BLVD STE 2A7, OFFUTT AFB, NE 68113-5213
(402) 912-8569
Mailing address
2003 MORRIE DR, BELLEVUE, NE 68123-4027
(402) 301-7758
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
36371264
NE
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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