MR. Chance L Widener

NPI #1922813187 in Kenesaw, Nebraska

Provider Information

NPI Number: 1922813187
Entity Type: Individual
Name: MR. Chance L Widener
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 9560 N DENMAN AVE
City: Kenesaw
State: Nebraska
ZIP Code: 68956-1631
Phone: (402) 462-0879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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