Individual
DEATYANA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16005 AUDREY ST, OMAHA, NE 68136-3014
(402) 312-4456
Mailing address
7732 N 87TH ST, OMAHA, NE 68122-5267
(402) 312-4456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27324
NE
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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