Individual
TARIG I KHALAFALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2120 N 176TH ST, OMAHA, NE 68116-2216
(402) 968-2447
Mailing address
2120 N 176TH ST, OMAHA, NE 68116-2216
(402) 968-2447
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NE
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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