Individual
TAMIKA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 FARNAM ST APT 201, OMAHA, NE 68102-2148
(402) 769-9240
Mailing address
1613 FARNAM ST APT 201, OMAHA, NE 68102-2148
(402) 769-9240
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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