Individual
CREOLA WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3960 IOWA ST, OMAHA, NE 68112-2504
(402) 306-4257
Mailing address
3960 IOWA ST, OMAHA, NE 68112-2504
(402) 306-4257
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
NE
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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