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Individual

TU TU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5709 N 61ST AVE, OMAHA, NE 68104-1162
(402) 906-0744
Mailing address
5709 N 61ST AVE, OMAHA, NE 68104-1162
(402) 906-0744

Taxonomy

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

Other

Enumeration date
01/31/2025
Last updated
01/31/2025
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