Individual
TAMIKO LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 S 169TH AVE, OMAHA, NE 68130-1008
(402) 882-5834
Mailing address
1321 S 169TH AVE, OMAHA, NE 68130-1008
(402) 881-5834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
19245
NE
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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