MICHAEL RAY DEGENHARDT

LINCOLN, NE
NPI1639819733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
MICHAEL RAY DEGENHARDT
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
Mailing Address
MICHAEL RAY DEGENHARDT
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905