Individual
DIANE JONELLE PRASEUTH GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 AMES AVE, OMAHA, NE 68104-2027
(888) 226-0111
Mailing address
504 PONTIAC DR, GRETNA, NE 68028-7884
(402) 518-0188
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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