NPI 1033929989

Jenom Gandu

Practitioner Contractor Lincoln, NE

Practice location

Address: 4920 S 65th St, Lincoln, NE 68516-1906
Phone: (402) 730-8738
Mailing address: 7910 S 83rd St, Lincoln, NE 68516-3930

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1033929989
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2025
Record last updated: 13 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.