Jacob Mark Petersen

NPI #1598561748 in Blair, Nebraska

Provider Information

NPI Number
1598561748
Entity Type
Individual
Name
Jacob Mark Petersen
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Feb 19, 2025
Last Updated
Feb 19, 2025

Practice Location

Address
19434 COUNTY ROAD P31
City
Blair
ZIP Code
68008-5548
Phone
(402) 237-7638

Specialties & Taxonomy Codes

Specialty
Adult Companion
Technician - Personal Care AttendantPersonal Care Attendant

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