Individual
CANETRIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10621 CRAIG ST, OMAHA, NE 68122-1538
(531) 495-6876
Mailing address
3331 CAMDEN AVE, OMAHA, NE 68111-1645
(531) 495-6876
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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