Destane Fuller
Destane Fuller is an Adult Companion in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
5426 Jaynes StOmaha, NE 68104-1758
Phone: (402) 218-9665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|
Record details
| NPI number | 1538964523 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 14, 2025 |
| Last updated in NPPES | February 14, 2025 |
| Certification date | February 14, 2025 |
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