Individual
TAMMY MARIE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
PO BOX 1302, MC COOK, NE 69001-1302
(360) 561-9466
Mailing address
PO BOX 1302, MC COOK, NE 69001-1302
(360) 561-9466
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
33408529
NE
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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