Individual
LYNE AGBANGLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16307 MANDERSON ST, OMAHA, NE 68116-2901
(531) 999-0579
Mailing address
16307 MANDERSON ST, OMAHA, NE 68116-2901
(531) 999-0579
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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