Individual
ANGELA DIANE TESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 715-8200
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2033
NE
Other
Enumeration date
09/13/2017
Last updated
09/15/2017
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