Individual
DOMANISHA TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 LARIMORE AVE, OMAHA, NE 68110-1422
(531) 375-6134
Mailing address
2108 LARIMORE AVE, OMAHA, NE 68110-1422
(531) 375-6134
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
100451
NE
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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