Individual
AMANDA EVELYN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 N 169TH ST, OMAHA, NE 68116-3034
(402) 209-2492
Mailing address
4120 N 169TH ST, OMAHA, NE 68116-3034
(402) 209-2492
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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