Individual
GLENDA BEENBLOSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 W 13TH ST, COZAD, NE 69130-1418
(303) 083-2569
Mailing address
11011 Q ST STE 101C, OMAHA, NE 68137-3700
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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