Individual
WANDA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6750 N 35TH ST, OMAHA, NE 68112-3030
(318) 331-6472
Mailing address
6750 N 35TH ST # T, OMAHA, NE 68112-3030
(318) 331-6472
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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