Individual
LATICEA SHEARED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 N 17TH ST APT 101, OMAHA, NE 68110-2430
(832) 329-8436
Mailing address
1941 S 42ND ST, OMAHA, NE 68105-2939
(531) 466-3281
(402) 916-5899
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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