Individual
HALEY JEAN LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667
(907) 250-1419
Mailing address
420 S WASHINGTON ST, PAPILLION, NE 68046-2667
(907) 250-1419
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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