Ian Wanga

NPI #1023997913 in La Vista, Nebraska

Provider Information

NPI Number: 1023997913
Entity Type: Individual
Name: Ian Wanga
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: Aug 27, 2025
Last Updated: Aug 27, 2025

Practice Location

Address: 7200 S 84TH ST
City: La Vista
State: Nebraska
ZIP Code: 68128-2115
Phone: (531) 999-2503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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