Individual
REGINA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13306 A ST, OMAHA, NE 68144-3660
(402) 339-7727
Mailing address
2710 S 13TH ST, OMAHA, NE 68108-1550
(402) 504-0261
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
6033
NE
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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