Individual
CAROLYN MARIE MISSEOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12180 PEDERSEN DR, OMAHA, NE 68144-4203
(402) 850-6943
Mailing address
11030 Q ST, OMAHA, NE 68137-3742
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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