Individual
MIKISHA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3610 DODGE ST STE 100, OMAHA, NE 68131-3218
(531) 777-8621
Mailing address
3610 DODGE ST STE 100, OMAHA, NE 68131-3218
(531) 777-8621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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