Individual
JADE LARSEN-PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4344 CHARLES ST, OMAHA, NE 68131-1011
(402) 708-2254
Mailing address
4344 CHARLES ST, OMAHA, NE 68131-1011
(402) 708-2254
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
H14142640
NE
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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