Individual
MISS TARA JAIMA BOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
824 10TH AVE, NEBRASKA CITY, NE 68410-1370
(402) 873-5513
Mailing address
456 S 24TH ST, LINCOLN, NE 68510-1207
(402) 276-6385
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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