BANLEMAN THIERRY KANGOU

OMAHA, NE
NPI1952298036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-06-20
Last Update Date2025-06-20
Business Address
BANLEMAN THIERRY KANGOU
7925 S 157TH ST
OMAHA, NE 68136-1177
Phone number: 402-210-5704
Mailing Address
BANLEMAN THIERRY KANGOU
15724 ROSEWOOD ST
OMAHA, NE 68136-3234
Phone number: