Individual
BRANDON JAMAR PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4324 OHIO ST, OMAHA, NE 68111-3444
(531) 323-3299
Mailing address
4324 OHIO ST, OMAHA, NE 68111-3444
(531) 232-3299
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NE
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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