Individual
MARISA KAY WILDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 N 60TH ST, OMAHA, NE 68152-2013
(531) 299-2122
Mailing address
7400 N 60TH ST, OMAHA, NE 68152-2013
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
NE
376K00000X
Nurse's Aide
Primary
—
NE
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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