Individual
ANGEL DAWN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 SEVILLE RD APT 216, WADSWORTH, OH 44281-1027
(330) 461-7655
Mailing address
455 SEVILLE RD APT 216, WADSWORTH, OH 44281-1027
(330) 461-7655
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003307
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APS.003307
—
OH
Enumeration date
07/22/2022
Last updated
07/22/2022
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