Individual
AMANDA WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4108 S 39TH ST, OMAHA, NE 68107-1221
(402) 812-0331
Mailing address
4108 S 39TH ST, OMAHA, NE 68107-1221
(402) 812-0331
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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