Individual
DENISE DIANE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 S 48TH ST, LINCOLN, NE 68510-4812
(402) 436-1215
Mailing address
3941 LOCUST ST, LINCOLN, NE 68516-1038
(402) 570-9800
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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