Individual
ETHEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8754 LARIMORE AVE, OMAHA, NE 68134-3119
(402) 739-5456
Mailing address
PO BOX 11445, OMAHA, NE 68111-0445
(402) 968-1963
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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