Individual
MS. TASHA F MAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 PEREGRINE RD, LINCOLN, NE 68505-2693
(402) 413-6363
Mailing address
9100 PEREGRINE RD, LINCOLN, NE 68505-2693
(816) 299-6088
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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