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Individual

TANEISHA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3610 DODGE ST STE 100, OMAHA, NE 68131-3218
(402) 804-9090
Mailing address
3610 DODGE ST STE 100, OMAHA, NE 68131-3218
(402) 804-9090

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
374U00000X
Home Health Aide

Other

Enumeration date
03/18/2025
Last updated
03/18/2025
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