Individual
TYRONE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15130 BAUMAN AVE, OMAHA, NE 68116-4475
(402) 707-0909
Mailing address
15130 BAUMAN AVE, OMAHA, NE 68116-4475
(402) 707-0909
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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