Individual
TERRELL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 HARNEY ST STE 703, OMAHA, NE 68102-2366
(402) 346-6164
Mailing address
1602 MILITARY AVE APT 4, OMAHA, NE 68111-3966
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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