Individual
SHELBY MARIE JIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11907 ESPLANADA CT APT 701, BELLEVUE, NE 68123-3137
(941) 376-1180
Mailing address
11907 ESPLANADA CT APT 701, BELLEVUE, NE 68123-3137
(941) 376-1180
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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