Individual
RYAN WIDHALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6818 GROVER ST STE 200, OMAHA, NE 68106-3632
(402) 932-0072
(402) 614-8245
Mailing address
6818 GROVER ST STE 200, OMAHA, NE 68106-3632
(402) 932-0072
(402) 614-8245
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/25/2025
Last updated
06/21/2025
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