Individual
BREANN DANIELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 S 30TH ST, OMAHA, NE 68107-1590
(402) 502-5832
Mailing address
5006 WESTLAKE CIR, PAPILLION, NE 68133-4720
(308) 383-4629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15380
NE
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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