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Individual

VANESSA M JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2109 VINTON ST APT 38, OMAHA, NE 68108-1862
(531) 200-3546
Mailing address
2109 VINTON ST APT 38, OMAHA, NE 68108-1862
(531) 200-3546

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2933921
NE
Enumeration date
01/27/2025
Last updated
01/27/2025
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