Individual
STEPHANIE ELLEN SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10509 S 26TH ST, BELLEVUE, NE 68123-4437
(402) 657-3006
Mailing address
10509 S 26TH ST, BELLEVUE, NE 68123-4437
(402) 657-3006
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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