Individual
MR. RENATO DEVERA ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N
Contact information
Practice address
602 SADLER RD, TOWSON, MD 21286-2969
(410) 828-5080
Mailing address
602 SADLER RD, TOWSON, MD 21286-2969
(410) 828-5080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R117495
MD
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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