ANETRIUS SHANTELL VAUGHN

OMAHA, NE
NPI1508664970
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2025-03-03
Last Update Date2025-12-05
Business Address
ANETRIUS SHANTELL VAUGHN
1502 N 70TH AVE
OMAHA, NE 68104-4621
Phone number: 402-714-2843
Mailing Address
ANETRIUS SHANTELL VAUGHN
3606 S 67TH CT APT 25
OMAHA, NE 68106-4250
Phone number: 402-714-2843