Juan Antonio Escamilla Sr.
Chore Provider in Gering, NE. Individual provider (NPI-1).
NPI number1609673243
StatusActive
Last updated in NPPESMar 1, 2025
Details
- NPI
- 1609673243
- Entity type
- Individual (NPI-1)
- Name
- Juan Antonio Escamilla Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2025
- Certification date
- Mar 1, 2025
- Last updated
- Mar 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | D21030188 | NE | Yes |
Practice location
33 South StGering, NE 69341-1619
Phone 308-635-0910
Mailing address
33 South StGering, NE 69341-1619
Phone 308-631-0166
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All 25 Chore Provider providers in Gering · All 277 providers in Gering
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