Individual
NATALYA REVENKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6916 N 102ND CIR, OMAHA, NE 68122-3056
(402) 504-8916
Mailing address
15328 DAVENPORT CIR, OMAHA, NE 68154-2044
(402) 880-2490
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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