Individual
SAMALISA EJIOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 S 84TH ST, LA VISTA, NE 68128-2115
(531) 255-7764
(531) 255-7764
Mailing address
1702 RIDGEVIEW DR, PAPILLION, NE 68046-4268
(402) 612-4404
(402) 612-4404
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NE
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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