Individual
TELEAH ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 E 17TH AVE, BELLEVUE, NE 68005-3464
(402) 301-2351
Mailing address
810 PINE ST, OMAHA, NE 68108-3639
(531) 299-2980
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NE
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/25/2025
Last updated
07/07/2025
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