Individual
TENESSA CARODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2437 S 24TH ST, OMAHA, NE 68108-1300
(402) 409-4774
Mailing address
2437 S 24TH ST, OMAHA, NE 68108-1300
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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