Individual
MISS KACIE ANTONIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 E DODGE ST # NE68025, FREMONT, NE 68025-5931
(402) 607-2132
Mailing address
2021 E DODGE ST # NE68025, FREMONT, NE 68025-5931
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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