Individual
TRA THI THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1549 W LANDER DR, LINCOLN, NE 68521-6665
(402) 802-2885
Mailing address
1549 W LANDER DR, LINCOLN, NE 68521-6665
(402) 802-2885
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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