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Individual

TINA MARIE MOFFETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA , CMA

Contact information

Practice address
1934 N 31ST ST, LINCOLN, NE 68503-1301
(319) 576-5112
Mailing address
6100 VINE ST APT J52, LINCOLN, NE 68505-2865
(319) 576-5112

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
162579
NE

Other

Enumeration date
02/20/2025
Last updated
02/20/2025
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