VANESE ITANGISHAKA

Rehabilitation Practitioner

Active Individual
NPI: 1902768401

Practice Address

3288 E PINE AVE APT 211
Meridian, ID 83642

Phone: (208) 888-8887

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Rehabilitation Practitioner 225400000X Yes -

Frequently Asked Questions

NPI 1902768401 is the National Provider Identifier for VANESE ITANGISHAKA, a Rehabilitation Practitioner provider located in Meridian, ID. This NPI was enumerated on December 2, 2025.
VANESE ITANGISHAKA practices at 3288 E PINE AVE APT 211, Meridian, ID 83642.

Quick Facts

NPI
1902768401
Type
Individual
Enumerated
Dec 2, 2025
Last Updated
Dec 2, 2025

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