Individual
KELLY JO DIEKMANN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9510 BURTON ST, LINCOLN, NE 68526-9324
(402) 405-4519
Mailing address
9510 BURTON ST, LINCOLN, NE 68526-9324
(402) 405-4519
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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