Individual
TANIA FIACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 280-5250
Mailing address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 280-5250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6372
NE
Other
Enumeration date
07/11/2010
Last updated
07/11/2010
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