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Individual

MARAYZA TERESE TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6605 N 90TH PLZ APT B, OMAHA, NE 68122-4159
(402) 301-2202
Mailing address
4538 N 62ND ST, OMAHA, NE 68104-2041
(402) 301-2202

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NE

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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