Individual
SAYDATOU TATIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13435 A ST, OMAHA, NE 68144-3658
(402) 697-3923
Mailing address
4855 S 95TH PLZ APT 4, OMAHA, NE 68127-2323
(310) 991-5806
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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