JACOB MARK PETERSEN

BLAIR, NE
NPI1598561748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies372600000X Adult Companion
Enumeration Date2025-02-19
Last Update Date2025-02-19
Business Address
JACOB MARK PETERSEN
19434 COUNTY ROAD P31
BLAIR, NE 68008-5548
Phone number: 402-237-7638
Mailing Address
JACOB MARK PETERSEN
19434 COUNTY ROAD P31
BLAIR, NE 68008-5548
Phone number: