Individual
DEJA GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 N 52ND ST, OMAHA, NE 68104-2909
(531) 299-1420
Mailing address
3905 N 52ND ST, OMAHA, NE 68104-2909
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NE
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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