Individual
TAJANAY HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16250 BEDFORD PLZ, OMAHA, NE 68116-2116
(402) 612-3671
Mailing address
16250 BEDFORD PLZ, OMAHA, NE 68116-2116
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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