Dewayne Patterson
Technician, Personal Care Attendant in Omaha, NE. Individual provider (NPI-1).
NPI number1639983604
StatusActive
Last updated in NPPESFeb 1, 2025
Details
- NPI
- 1639983604
- Entity type
- Individual (NPI-1)
- Name
- Dewayne Patterson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2025
- Certification date
- Feb 1, 2025
- Last updated
- Feb 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
6829 N 72nd StOmaha, NE 68122-1723
Phone 701-500-6189
Mailing address
6829 N 72nd StOmaha, NE 68122-1723
Phone 701-500-6189
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