Individual
TIMOTHY LEE PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6612 N 118TH AVE, OMAHA, NE 68164-6868
(402) 516-2409
Mailing address
6612 N 118TH AVE, OMAHA, NE 68164-6868
(402) 516-2409
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NE
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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