Individual
RAVEN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5122 ASPEN DR, BELLEVUE, NE 68157-2104
(402) 590-6861
Mailing address
5122 ASPEN DR, BELLEVUE, NE 68157-2104
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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