Individual
BANNAZ HADJI SHAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11401 NW 70TH ST, RAYMOND, NE 68428-4250
(402) 785-4129
Mailing address
9018 FORT ST, OMAHA, NE 68134-1749
(402) 808-0899
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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