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Individual

YAIISA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7815 MILITARY AVE # NE68134, OMAHA, NE 68134-2250
(402) 201-7968
Mailing address
7815 MILITARY AVE # NE68134, OMAHA, NE 68134-2250
(402) 201-7968

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
03/27/2025
Last updated
03/27/2025
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