Individual
ANTOINETTE L RUSSELL-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 N 55TH AVE, OMAHA, NE 68104-2877
(402) 208-5734
(000) 000-0000
Mailing address
4320 N 55TH AVE, OMAHA, NE 68104-2877
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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