Individual
MR. WAYLAND ANTHONY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11714 SPRAGUE CIR # A, OMAHA, NE 68164-2253
(402) 871-1929
Mailing address
12123 EMMET ST, OMAHA, NE 68164-4264
(531) 375-5638
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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