DAVID PROFENNA

BOYS TOWN, NE
NPI1831917004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: NE  14052)
Enumeration Date2024-09-27
Last Update Date2024-09-27
Business Address
DAVID PROFENNA PLMHP
13460 WALSH DR
BOYS TOWN, NE 68010-7529
Phone number: 531-355-3358
Mailing Address
DAVID PROFENNA PLMHP
13460 WALSH DR
BOYS TOWN, NE 68010-7529
Phone number: 531-355-3358