Individual
JACOBI TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6010 WENNINGHOFF RD, OMAHA, NE 68134-1903
(402) 979-1222
Mailing address
6010 WENNINGHOFF RD, OMAHA, NE 68134-1903
(402) 979-1222
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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