Individual
MARISSA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3529 N 54TH ST, OMAHA, NE 68104-3515
(024) 037-1064
Mailing address
3529 N 54TH ST, OMAHA, NE 68104-3515
(024) 037-1064
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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