Individual
SHALLONA UNTREA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4406 N 53RD ST, OMAHA, NE 68104-2853
(402) 208-9640
Mailing address
4406 N 53RD ST, OMAHA, NE 68104-2853
(402) 208-9640
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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