Individual
JALISA SMITH-WOODFORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4521 HAMILTON ST, OMAHA, NE 68132-1716
(402) 913-1757
Mailing address
4521 HAMILTON ST, OMAHA, NE 68132-1716
(402) 913-1757
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
H13496939
NE
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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