Individual
IZETTA MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 ELLISON CIR, OMAHA, NE 68111-1404
(402) 913-7015
Mailing address
3904 ELLISON CIR, OMAHA, NE 68111-1404
(402) 913-7015
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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