Individual
MANDI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4606 TERRACE DR, OMAHA, NE 68134-3062
(531) 299-2480
(531) 299-2499
Mailing address
4606 TERRACE DR, OMAHA, NE 68134-3062
(531) 299-2480
(531) 299-2499
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
12/20/2024
Last updated
08/25/2025
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