ELLIE N WILTFONG

OMAHA, NE
NPI1295473734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NE  2759)
Enumeration Date2022-05-24
Last Update Date2022-05-24
Business Address
ELLIE N WILTFONG PA-C
8200 DODGE ST
OMAHA, NE 68114-4113
Phone number: 402-955-5150
Mailing Address
ELLIE N WILTFONG PA-C
PO BOX 24607
OMAHA, NE 68124-0607
Phone number: 402-955-5400
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