Individual
ELLIOTT WANTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 GLENMORE DR APT 105, NORFOLK, NE 68701-2659
(402) 649-4883
Mailing address
1505 GLENMORE DR APT 105, NORFOLK, NE 68701-2659
(402) 649-4883
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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