Individual
KEONNA CHALETE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5917 FONTENELLE BLVD, OMAHA, NE 68111-1141
(402) 707-4434
Mailing address
5917 FONTENELLE BLVD, OMAHA, NE 68111-1141
(402) 707-4434
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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