Individual
ANEL OMERAGIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6440 EP TRUE PKWY UNIT 1202, WEST DES MOINES, IA 50266-5248
(515) 783-8503
Mailing address
6440 EP TRUE PKWY UNIT 1202, WEST DES MOINES, IA 50266-5248
(515) 783-8503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P57006
IA
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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