Individual
JOHARA GUADALUPE TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
13715 POLK PLZ APT 102, OMAHA, NE 68137-4135
(531) 777-6090
Mailing address
4214 S 12TH ST, OMAHA, NE 68107-2309
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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