Individual
HOLLY RENNE BOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667
(317) 922-4562
Mailing address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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