Individual
TERTIA MARIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 S WEST ST APT 12, 12, VALLEY, NE 68064-9756
(402) 810-5153
Mailing address
712 S WEST ST APT 12, VALLEY, NE 68064-9756
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NE
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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