Individual
LATONYA FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 S 13TH ST, LINCOLN, NE 68502-4515
(402) 217-9784
Mailing address
3105 S 13TH ST, LINCOLN, NE 68502-4515
(402) 217-9784
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
98458
NE
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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