Individual
SHANNON DIANE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11340 BLONDO ST, OMAHA, NE 68164-3815
(402) 444-6500
Mailing address
261 LAFAYETTE AVE, COUNCIL BLUFFS, IA 51503-3025
(402) 968-0077
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
44862
NE
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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