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Individual

ANNIS A ADOLPHUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3001 COLUMBUS AVE, BELLEVUE, NE 68005-4117
(310) 946-1018
Mailing address
3001 COLUMBUS AVE, BELLEVUE, NE 68005-4117
(310) 946-1018

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NE

Other

Enumeration date
02/13/2025
Last updated
05/05/2025
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