Individual
JERAMIAH C STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2832 PONCA ST, LINCOLN, NE 68506-4015
(402) 612-8130
Mailing address
2832 PONCA ST, LINCOLN, NE 68506-4015
(402) 612-8130
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NE
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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