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Individual

MISS TASHA BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
7704 WEBSTER ST, OMAHA, NE 68114-3062
(402) 819-8786
Mailing address
7704 WEBSTER ST, OMAHA, NE 68114-3062
(402) 819-8786

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary
77465
NE
376K00000X
Nurse's Aide
24601
NE

Other

Enumeration date
02/25/2016
Last updated
02/25/2016
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