Individual
FANY SULAY CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5618 N 14TH AVE, OMAHA, NE 68110-1134
(531) 299-2060
Mailing address
5618 N 14TH AVE, OMAHA, NE 68110-1134
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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