Individual
TYRRA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9102 S 78TH ST, LINCOLN, NE 68516-4021
(402) 269-7013
Mailing address
9102 S 78TH ST, LINCOLN, NE 68516-4021
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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