Individual
SHANIECE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 S 84TH ST STE 6, LA VISTA, NE 68128-2116
(402) 709-6321
(531) 999-2504
Mailing address
7200 S 84TH ST STE 6, LA VISTA, NE 68128-2116
(402) 709-6321
(531) 999-2504
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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