Individual
SHORMO WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8522 YOUNG ST, OMAHA, NE 68122-1009
(510) 967-2600
Mailing address
8620 N 96TH ST, OMAHA, NE 68122-2300
(402) 708-8209
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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