Individual
ELRISALA IBRAHIM ANGILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5128 NW RADIAL HWY, OMAHA, NE 68104-4370
(402) 658-4915
Mailing address
5128 NW RADIAL HWY, OMAHA, NE 68104-4370
(402) 658-4915
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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