Individual
SHANELLE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8820 N 79TH ST, OMAHA, NE 68122-4094
(602) 860-2105
Mailing address
8820 N 79TH ST, OMAHA, NE 68122-4094
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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