| NPI | 1780874826 |
|---|---|
| Doing Business As | DEVENU MEDICAL REJUVENATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JULIE L WADDELL Director 402-397-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2009-06-30 |