Individual
SAMANTHA SMOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2926 N 48TH AVE, OMAHA, NE 68104-3702
(531) 210-0273
Mailing address
3650 NEBRASKA AVE, OMAHA, NE 68111-1162
(531) 210-0273
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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