Individual
SHAMIKA LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5717 FONTENELLE BLVD, OMAHA, NE 68111-1541
(402) 739-1314
Mailing address
5717 FONTENELLE BLVD, OMAHA, NE 68111-1541
(402) 739-1314
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
03/19/2025
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