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Individual

GAYATHRI CHINTAMADAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 N 174TH ST, OMAHA, NE 68116-2743
(848) 247-9445
Mailing address
2301 N 174TH ST, OMAHA, NE 68116-2743
(848) 247-9445

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
08/10/2022
Last updated
08/10/2022
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