Individual
TRACY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13906 GOLD CIR STE 103, OMAHA, NE 68144-2336
(402) 706-0772
Mailing address
3632 CORNHUSKER DR, OMAHA, NE 68124-3943
(402) 718-7890
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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