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Individual

SIDNEY WALLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4642 S 132ND ST, OMAHA, NE 68137-1764
(402) 917-0865
Mailing address
4642 S 132ND ST, OMAHA, NE 68137-1764

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
89733
NE
376K00000X
Nurse's Aide
126193
NE

Other

Enumeration date
03/20/2025
Last updated
03/20/2025
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