Individual
SAINT WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19269 HOLMES ST., OMAHA, NE 68135
(402) 215-6970
Mailing address
19269 HOLMES ST, OMAHA, NE 68135-3663
(402) 215-6970
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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