Individual
MR. TEVON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6320 N 34TH ST, OMAHA, NE 68111-1226
(402) 312-8034
Mailing address
6320 N 34TH ST, OMAHA, NE 68111-1226
(402) 312-8034
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
72358627
NE
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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