Samuel Yel Mangong

NPI #1831748433 in Omaha, Nebraska

Provider Information

NPI Number: 1831748433
Entity Type: Individual
Name: Samuel Yel Mangong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Sep 5, 2019
Last Updated: Sep 5, 2019

Practice Location

Address: 4220 ERSKINE ST
City: Omaha
State: Nebraska
ZIP Code: 68111-3419
Phone: (531) 389-9150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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