Individual
SHELLY RAE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4433 S 70TH ST STE 200, LINCOLN, NE 68516-4275
(402) 320-2373
Mailing address
1606 GRANDVIEW AVE APT 25, PAPILLION, NE 68046-5822
(402) 320-2373
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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