Individual
STACY JO LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6710 SUNSHINE DR, OMAHA, NE 68107-3761
(402) 650-1148
Mailing address
6710 SUNSHINE DR, OMAHA, NE 68107-3761
(402) 650-1148
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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