Individual
PAULA W FANTROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5021 ARCADIA AVE, OMAHA, NE 68104-1333
(402) 208-3186
Mailing address
5021 ARCADIA AVE, OMAHA, NE 68104-1333
(402) 208-3186
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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