Individual
SHANTALLA SUTONIA DANAJYA HATTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5408 AMES AVE, OMAHA, NE 68104
(402) 812-6676
Mailing address
15513 KING CIR, BENNINGTON, NE 68007-1818
(402) 718-7441
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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