Individual
DENICE YVETTE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14238 NEWPORT AVE, OMAHA, NE 68164-1208
(402) 208-9401
Mailing address
14238 NEWPORT AVE, OMAHA, NE 68164-1208
(402) 208-9401
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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