Individual
CANI GRIXBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5966 N 33RD ST, OMAHA, NE 68111-1218
(402) 616-6113
Mailing address
6505 N 36TH ST, OMAHA, NE 68112-3031
(402) 616-6113
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
H14061712
NE
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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