Individual
DARRIELLE GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4826 MADISON AVE APT 1, LINCOLN, NE 68504-2671
(402) 326-8927
Mailing address
4826 MADISON AVE APT 1, LINCOLN, NE 68504-2671
(402) 326-8927
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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