Individual
SHANETHA S LATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1870 S 75TH ST, OMAHA, NE 68124-1700
(402) 361-5830
Mailing address
3456 FOWLER CIR, OMAHA, NE 68111-2381
(402) 216-6761
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
1926
NE
Other
Enumeration date
02/19/2022
Last updated
02/19/2022
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