Individual
TYNEESHA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6627 N 162ND AVENUE PLZ APT 1102, OMAHA, NE 68116-5351
(402) 618-9014
Mailing address
9744 MOCKINGBIRD DR, OMAHA, NE 68127-2013
(402) 800-3787
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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