Individual
NATALIA LAVONNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 EMMET ST, OMAHA, NE 68110-1817
(402) 306-0135
Mailing address
2002 EMMET ST, OMAHA, NE 68110-1817
(402) 306-0135
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
REGISTRY1459
NE
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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