Organization
ADVANCED FAMILY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMAKA K GANGWISH (APRN)
(402) 303-8802
Entity
Organization
Contact information
Practice address
926 E E ST, HASTINGS, NE 68901-6617
(402) 303-8802
(402) 487-0599
Mailing address
926 EAST 'E' ST, HASTINGS, NE 68901
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
12/19/2023
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