Individual
MS. ANGELA FELICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
77 CARROLL ST APT 3, POUGHKEEPSIE, NY 12601-4523
(845) 430-0376
Mailing address
PO BOX 2222, POUGHKEEPSIE, NY 12601-0322
(845) 483-1175
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10270493
NY
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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