Individual
JENIQUA L DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 N 20TH ST APT 307, OMAHA, NE 68102-4007
(402) 812-6676
Mailing address
1120 N 20TH ST APT 307, OMAHA, NE 68102-4007
(402) 812-6676
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
H13187730
NE
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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