Individual
BUAY TUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4123 S 22ND ST, OMAHA, NE 68107-1902
(402) 738-0528
Mailing address
4123 S 22ND ST, OMAHA, NE 68107-1902
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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