Individual
TATIANA NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4732 S 131ST ST, OMAHA, NE 68137-1822
(402) 697-3923
Mailing address
4107 N 9TH ST, CARTER LAKE, IA 51510-1253
(402) 906-0067
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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