Individual
PAMELA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4060 VINTON ST STE 100, OMAHA, NE 68105-3863
(402) 991-9880
Mailing address
12302 S 29TH ST, BELLEVUE, NE 68123-1609
(402) 201-5944
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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