Individual
TARYN DAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 N 16TH ST, OMAHA, NE 68102-4101
(402) 827-0570
Mailing address
3300 N 60TH ST, OMAHA, NE 68104-3402
(402) 829-9258
(402) 551-8797
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037661286
—
NE
Enumeration date
09/02/2015
Last updated
09/02/2015
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