Individual
VIVIAN L GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13919 S PLZ, OMAHA, NE 68137-2916
(402) 896-9988
Mailing address
1207 CASS ST APT 404, OMAHA, NE 68102-1316
(402) 334-5221
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
100110
NE
Other
Enumeration date
05/14/2025
Last updated
05/21/2025
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