Individual
YULIA DERGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6818 GROVER ST STE 101, OMAHA, NE 68106-3632
(402) 661-4728
Mailing address
2122 S 61ST ST, OMAHA, NE 68106-2130
(402) 661-4728
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/21/2025
Last updated
04/08/2025
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