Dfas-jfll/in | |
4005 Raynor Pkwy Apt 3316 Bellevue NE 68123-6110 | |
(210) 862-0632 | |
Not Available |
Full Name | Dfas-jfll/in |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 4005 Raynor Pkwy Apt 3316, Bellevue, Nebraska |
Authorized Official Name and Position | Marina Puentes (PHYSICIAN ASSISTANT) |
Authorized Official Contact | 2108620632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dfas-jfll/in 4005 Raynor Pkwy Apt 3316 Bellevue NE 68123-6110 Ph: (210) 862-0632 | Dfas-jfll/in 4005 Raynor Pkwy Apt 3316 Bellevue NE 68123-6110 Ph: (210) 862-0632 |
NPI Number | 1235539750 |
---|---|
Provider Enumeration Date | 09/03/2014 |
Last Update Date | 09/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235539750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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