Individual
TARA TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7417 HARVEST HILLS DR, LA VISTA, NE 68128-2338
(402) 880-8213
Mailing address
7417 HARVEST HILLS DR, LA VISTA, NE 68128-2338
(402) 880-8213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73736
NE
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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