Individual
BANLEMAN THIERRY KANGOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7925 S 157TH ST, OMAHA, NE 68136-1177
(402) 210-5704
Mailing address
15724 ROSEWOOD ST, OMAHA, NE 68136-3234
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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