Individual
TADAGBE ANSELME MIGNANHOUANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 BRYN MAWR DR, PAPILLION, NE 68046-6216
(402) 769-9448
Mailing address
204 GALVIN RD N, BELLEVUE, NE 68005-4899
(402) 769-9225
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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