Individual
TANISHA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4917 N 55TH ST, OMAHA, NE 68104-2210
(531) 721-9348
Mailing address
4917 N 55TH ST, OMAHA, NE 68104-2210
(531) 721-9348
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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