Tamara Jane Boeka

NPI #1215651187 in Gretna, Nebraska

Provider Information

NPI Number: 1215651187
Entity Type: Individual
Name: Tamara Jane Boeka
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Oct 3, 2022
Last Updated: Oct 3, 2022

Practice Location

Address: 19854 HACKBERRY DR
City: Gretna
State: Nebraska
ZIP Code: 68028-4546
Phone: (402) 213-9207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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