Individual
ANGELICA TILLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42 TITUS RD, POUGHKEEPSIE, NY 12603-1431
(845) 325-6717
Mailing address
42 TITUS RD, POUGHKEEPSIE, NY 12603-1431
(845) 325-6717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
804020
NY
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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