Individual
DONESHA MARQUETTE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3357 N 37TH ST, OMAHA, NE 68111-3138
(402) 332-8681
Mailing address
3357 N 37TH ST, OMAHA, NE 68111-3138
(402) 320-8681
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27405
NE
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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