Individual
ANGEL LEIGH ANN MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 W DAWES AVE, LINCOLN, NE 68521-3958
(402) 436-1168
Mailing address
108 W SAUNDERS AVE, LINCOLN, NE 68521-3925
(402) 601-7407
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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