Individual
DESTINEE CANTRELL GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 FLORENCE BLVD, OMAHA, NE 68110-1737
(531) 299-2380
Mailing address
3720 FLORENCE BLVD, OMAHA, NE 68110-1737
(531) 299-2380
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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