Individual
CHANNA AUTUMN SIZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13919 S PLZ, OMAHA, NE 68137-2916
(402) 896-9988
Mailing address
13919 S PLZ, OMAHA, NE 68137-2916
(402) 896-9988
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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