Individual
NANCY DEANE WILSON GIORDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
(402) 891-1118
Mailing address
63 VINE ST, ASHEVILLE, NC 28804-3045
(828) 215-9503
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
P6091
NC
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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