Individual
DE'ANDRE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6218 N 75TH ST, OMAHA, NE 68134-2112
(402) 214-6203
Mailing address
6218 N 75TH ST, OMAHA, NE 68134-2112
(402) 214-6203
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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