Individual
SHAKIARA TAVONNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3051 ARCADIA AVE, OMAHA, NE 68111-1227
(402) 201-4689
Mailing address
3051 ARCADIA AVE, OMAHA, NE 68111-1227
(402) 201-1538
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
08/22/2022
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