NPI Profile for VANESE ITANGISHAKA in MERIDIAN, ID.
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation Practitioner |
225400000X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI Number | 1902768401 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/02/2025 | |
| Last updated | 12/02/2025 - About 6 months ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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VANESE ITANGISHAKA
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