Individual
WYLETTA GONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 N 16TH ST APT 6, OMAHA, NE 68110-2271
(402) 670-6580
Mailing address
2501 N 16TH ST APT 6, OMAHA, NE 68110-2271
(402) 670-6580
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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