Individual
TAMARA DANETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 CALDWELL ST, OMAHA, NE 68131-1617
(402) 218-5845
Mailing address
2424 CALDWELL ST, OMAHA, NE 68131-1617
(402) 218-5845
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H12836747
NE
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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