Individual
DEALVA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2744 TITUS AVE, OMAHA, NE 68112-3230
(402) 905-6805
Mailing address
2744 TITUS AVE, OMAHA, NE 68112-3230
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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