Vanese Itangishaka

NPI #1902768401 in Meridian, Idaho

Provider Information

NPI Number: 1902768401
Entity Type: Individual
Name: Vanese Itangishaka
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: Dec 2, 2025
Last Updated: Dec 2, 2025

Practice Location

Address: 3288 E PINE AVE APT 211
City: Meridian
State: Idaho
ZIP Code: 83642-5922
Phone: (208) 888-8887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Rehabilitation Practitioner	225400000X	Primary

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