Individual
SHANNON TELLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2038 S 20TH ST, LINCOLN, NE 68502-2711
(402) 326-7128
Mailing address
2038 S 20TH ST, LINCOLN, NE 68502-2711
(402) 326-7128
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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