Individual
JOHANNA MARIE CRUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4715 S 132ND ST, OMAHA, NE 68137-1899
(402) 444-6500
Mailing address
7011 S 78TH ST, LA VISTA, NE 68128-2230
(402) 637-3774
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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