Individual
SHAQUILLA S THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3451 PRATT ST, OMAHA, NE 68111-2805
(402) 880-6730
Mailing address
3451 PRATT ST, OMAHA, NE 68111-2805
(402) 880-6730
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
H13598282
NE
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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