Individual
SAMANTHA TENILLE GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2022 W 39TH ST APT 1, KEARNEY, NE 68845-8284
(308) 870-6129
Mailing address
2022 W 39TH ST APT 1, KEARNEY, NE 68845-8284
(308) 870-6129
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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