Individual
SIMAR PUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 S 84TH ST STE 19, LA VISTA, NE 68128-2118
(402) 880-2551
Mailing address
7200 S 84TH ST STE 19, LA VISTA, NE 68128-2118
(402) 880-2551
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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