DEVONTAI LUELLEN

OMAHA, NE
NPI1225904808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-10-13
Last Update Date2025-10-13
Business Address
DEVONTAI LUELLEN
4611 S 96TH ST STE 134
OMAHA, NE 68127-1240
Phone number: 402-619-2033
Mailing Address
DEVONTAI LUELLEN
4611 S 96TH ST STE 134
OMAHA, NE 68127-1240
Phone number: 402-619-2033