Individual
BRANDI JA'NAE MOANING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7412 GIRARD ST, OMAHA, NE 68122-1766
(402) 203-6678
Mailing address
7412 GIRARD ST, OMAHA, NE 68122-1766
(402) 203-6678
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
102933
NE
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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