Individual
JERI DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 E 11TH ST, FREMONT, NE 68025-4321
(402) 727-3178
Mailing address
1240 E 11TH ST, FREMONT, NE 68025-4321
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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