Individual
TINA LEA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11812 GOLDEN BLVD APT 904, BELLEVUE, NE 68123-3114
(712) 899-3042
Mailing address
11812 GOLDEN BLVD APT 904, BELLEVUE, NE 68123-3114
(712) 899-3042
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
85057
NE
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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