Individual
PADUEY BANG JOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11330 Q ST # 230, OMAHA, NE 68137-3679
(402) 312-7271
Mailing address
4411 EVANS ST, OMAHA, NE 68111-2527
(402) 403-8722
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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