Individual
TWANNA ROCHELLE AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 O STREET, OMAHA, NE 68117-2114
(402) 812-6284
Mailing address
4531 O ST, OMAHA, NE 68117-2114
(402) 812-6284
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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