Individual
CONSOLAR NGANG FONKENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5328 N 47TH AVE, OMAHA, NE 68104-1406
(402) 707-8373
Mailing address
5328 N 47TH AVE, OMAHA, NE 68104-1406
(402) 707-8373
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
62559
NE
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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