Individual
TAKEAKI ANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6910 SPRING STREET APARTMENT 316, OMAHA, NE 68106
(808) 724-5546
Mailing address
6910 SPRING STREET APARTMENT 316, OMAHA, NE 68106
(808) 724-5546
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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