Individual
ANGELA A GUSTAFSON CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4146 HARRISON ST, OMAHA, NE 68147-1060
(402) 515-1614
Mailing address
4146 HARRISON ST, OMAHA, NE 68147-1060
(402) 515-1614
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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