Individual provider · Type 1 NPI

Samuel Yel Mangong

Driver · Omaha, NE

NPI number 1831748433 Active

Practice location

4220 Erskine St
Omaha, NE 68111-3419

Call (531) 389-9150 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1831748433

Samuel Yel Mangong's National Provider Identifier is 1831748433, issued on Sep 5, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Omaha, NE. The record was last updated on Sep 5, 2019.