Individual
GRAYDON WAYNE GRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S 37TH ST APT 503, OMAHA, NE 68105-1269
(402) 657-1457
Mailing address
500 S 37TH ST APT 503, OMAHA, NE 68105-1269
(402) 657-1457
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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