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Individual

T'KIA SHANTEL WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1402 JONES ST STE 240, OMAHA, NE 68102-3218
(402) 915-5171
Mailing address
2122 N 31ST ST APT 1N, OMAHA, NE 68111-4279
(402) 213-1891

Taxonomy

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

Other

Enumeration date
04/26/2025
Last updated
04/26/2025
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