Most Relevant Information
Provider Data
| NPI Number: | 1003663279 |
| Provider Name: | KIM NGOC HOANG |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | NA |
Most Important Dates
| Enumeration Date: | 05/04/2024 |
| Last Updated: | 05/04/2024 |
Provider Practice Location
909 S 76TH ST
OMAHA
NE
681144519
Practice Location Phone/Fax
| Phone: | 4023902100 |
| Fax: |
Provider Mailing Location
909 S 76TH ST
OMAHA
NE
681144519
Provider Mailing Phone/Fax
| Phone: | 4043902100 |
| Fax: |