Individual
TAHA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2506 N 63RD ST, OMAHA, NE 68104-4028
(402) 320-5319
Mailing address
2506 N 63RD ST, OMAHA, NE 68104-4028
(402) 320-5319
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NE
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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