Individual
ANTOINETTE RAE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 MIAMI ST, OMAHA, NE 68110-2124
(402) 813-4029
Mailing address
2213 MIAMI ST, OMAHA, NE 68110-2124
(402) 813-4029
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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