Individual
MRS. TIFFANY TESORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16957 LOCUST ST, OMAHA, NE 68116-2658
(773) 968-5811
Mailing address
16957 LOCUST ST, OMAHA, NE 68116-2658
(773) 968-5811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113042
NE
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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