Individual
TEVIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7925 S 157TH ST, OMAHA, NE 68136-1177
(402) 210-5704
Mailing address
2257 BENSON GARDENS BLVD APT 1C, OMAHA, NE 68134-6740
(402) 810-0710
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
NE
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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