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Individual

TARA HUERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2231 LINCOLN RD, BELLEVUE, NE 68005-3907
(402) 291-1203
Mailing address
8507 S 46TH AVE, BELLEVUE, NE 68157-2629
(402) 885-3363

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
21147
NE

Other

Enumeration date
01/11/2023
Last updated
01/11/2023
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