Individual
ALONZO E WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12451 S 79TH AVE, PAPILLION, NE 68046-4694
(402) 718-0538
Mailing address
12451 S 79TH AVE, PAPILLION, NE 68046-4694
(402) 718-0538
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NE
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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