Individual
SHAVONNE CUSHINBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 S 17TH ST STE 726, OMAHA, NE 68102-1901
(402) 421-1119
Mailing address
712 S WEST ST APT 41, VALLEY, NE 68064-9754
(402) 813-3475
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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