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Detra Daughtery

Home Health Aide in Omaha, NE. Individual provider (NPI-1).

NPI number1164214722
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1164214722
Entity type
Individual (NPI-1)
Name
Detra Daughtery
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2025
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

13750 Millard Ave Ste 201
Omaha, NE 68137-2711

Phone 402-403-1222

Mailing address

4850 Underwood Ave Apt 507
Omaha, NE 68132-2436

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