Individual
TAMARA S KETCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5509 N 178TH ST, OMAHA, NE 68116-2294
(402) 957-5780
Mailing address
4215 S 219TH ST, ELKHORN, NE 68022-3334
(402) 830-5207
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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