Individual
TINA KORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 N LINCOLN AVE, FREMONT, NE 68025-3299
(402) 727-3050
Mailing address
1545 N GARFIELD ST, FREMONT, NE 68025-3633
(402) 533-0800
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
NE
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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