Individual
TYRESHIA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1347 Y ST, OMAHA, NE 68107-3562
(531) 215-5820
Mailing address
1347 Y ST, OMAHA, NE 68107-3562
(531) 215-5820
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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