Gowri Manogari Ganeshkumar
Technician, Personal Care Attendant in Omaha, NE. Individual provider (NPI-1).
NPI number1710692058
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1710692058
- Entity type
- Individual (NPI-1)
- Name
- Gowri Manogari Ganeshkumar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2023
- Certification date
- Jan 13, 2023
- Last updated
- Jan 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
5606 S 147th StOmaha, NE 68137-2648
Phone 402-715-8200
Mailing address
5606 S 147th StOmaha, NE 68137-2648
Phone 402-715-8200
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