Individual
JAVIANNA PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 S 17TH ST, OMAHA, NE 68108-1927
(402) 972-1494
Mailing address
3110 S 17TH ST, OMAHA, NE 68108-1927
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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