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T'Challa Renfrow Jr.

Homemaker in Omaha, NE. Individual provider (NPI-1).

NPI number1184530685
StatusActive
Last updated in NPPESAug 24, 2026

Details

NPI
1184530685
Entity type
Individual (NPI-1)
Name
T'Challa Renfrow Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 24, 2026
Certification date
Aug 23, 2026
Last updated
Aug 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

7810 Wakeley Plz Ste 5
Omaha, NE 68114-3637

Phone 402-389-0956

Mailing address

7810 Wakeley Plz Ste 5
Omaha, NE 68114-3637

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