Individual
AMANDA ELIZABETH DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
(402) 934-5228
Mailing address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 934-1617
(402) 934-5228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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