Individual
FABIAN EMILIO PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 S 70TH ST STE 360, LINCOLN, NE 68510-2469
(414) 202-9475
Mailing address
1323 N 102ND ST, 301 S 70TH ST, STE 360, LINCOLN, NE 68527-9708
(402) 870-8255
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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