BRANDY LATIECHA GREEN

OMAHA, NE
NPI1851828347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NE  23140)
Enumeration Date2017-05-16
Last Update Date2017-05-16
Business Address
Ms. BRANDY LATIECHA GREEN
10011 J ST
OMAHA, NE 68127-1106
Phone number: 402-896-9988
Mailing Address
Ms. BRANDY LATIECHA GREEN
4980 S 118TH ST
OMAHA, NE 68137-2200
Phone number: 402-896-3884
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