Individual
HSER BOE PAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5302 N 39TH CIR, OMAHA, NE 68111-1525
(402) 301-1794
Mailing address
5302 N 39TH CIR, OMAHA, NE 68111-1525
(402) 301-1794
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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