NPI | 1801971387 |
---|---|
Doing Business As | TABITHA PROFESSIONAL SERVICES |
Entity Type | Organization |
Authorized Contact | DARCIE L BRINK Sr Vice President / CFO 402-483-7671 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-10-25 |
Last Update Date | 2013-10-08 |