Individual
SHELBY BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7625 VALLEY RD, LA VISTA, NE 68128-2744
(402) 681-9569
Mailing address
9919 WEIR PLZ APT 18, OMAHA, NE 68127-2167
(402) 681-9569
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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