Individual
THAN SOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 N 34TH AVE APT 40, OMAHA, NE 68111-3633
(402) 830-2569
Mailing address
2400 N 34TH AVE APT 40, OMAHA, NE 68111-3633
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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