Individual
DIANE KAY BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 BROWNE ST, OMAHA, NE 68104-2429
(402) 660-3945
Mailing address
4510 BROWNE ST, OMAHA, NE 68104-2429
(402) 660-3945
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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