Individual
SHELLY MARIE MILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 E MILITARY AVE, FREMONT, NE 68025-5477
(402) 719-3658
Mailing address
1835 E MILITARY AVE, FREMONT, NE 68025-5477
(402) 719-3658
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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