Individual
TESSIE RACHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 S 72ND ST, SUITE 103, PAPILLION, NE 68046-3407
(402) 932-2782
(402) 932-2705
Mailing address
10601 S 72ND ST, SUITE 103, PAPILLION, NE 68046-3407
(402) 932-2782
(402) 932-2705
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1923
NE
Other
Enumeration date
09/16/2015
Last updated
12/20/2015
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