Individual
KHAEIRI KHOUDEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1924 N 28TH ST, LINCOLN, NE 68503-1205
(402) 805-2299
Mailing address
1924 N 28TH ST, LINCOLN, NE 68503-1205
(402) 805-2299
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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