Individual
KUKUMOO FAITHFULNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4919 N 63RD ST, OMAHA, NE 68104-2014
(402) 630-2958
Mailing address
4919 N 63RD ST, OMAHA, NE 68104-2014
(402) 630-2958
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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