Individual
GIN ZA PAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4911 N 64TH ST, OMAHA, NE 68104-1908
(531) 495-7636
(531) 495-7636
Mailing address
6936 CHANDON DR, LINCOLN, NE 68526-6008
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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