Individual
KRISTINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16909 LAKESIDE HILLS PLZ, OMAHA, NE 68130-4654
(402) 932-2211
Mailing address
16909 LAKESIDE HILLS PLZ STE 114, OMAHA, NE 68130-4652
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
86025
NE
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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