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Individual

TERRA T SOMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
10351 PORTAL RD STE 103, LA VISTA, NE 68128-5543
(402) 302-0975
Mailing address
202 SHILLAELAGH BLVD APT 12, PAPILLION, NE 68046-3038
(402) 302-0975

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3973
NE

Other

Enumeration date
04/16/2025
Last updated
04/16/2025
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