Individual
SHANICCA STENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4965 FORT ST, OMAHA, NE 68104-1827
(531) 500-9455
Mailing address
4965 FORT ST, OMAHA, NE 68104-1827
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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