Individual
TASHAWNA EVON WOODBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 N 60TH ST, OMAHA, NE 68104-4841
(402) 306-0705
Mailing address
1618 N 60TH ST, OMAHA, NE 68104-4841
(402) 306-0705
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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