Individual
TIFFANY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 E MILITARY AVE, FREMONT, NE 68025-5466
(402) 517-1300
Mailing address
1880 E MILITARY AVE, FREMONT, NE 68025-5466
(402) 517-1300
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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