Individual
DAWN M ANGELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
717 DAVIDSON ST, WATERTOWN, NY 13601-1409
(315) 788-3531
Mailing address
717 DAVIDSON ST, WATERTOWN, NY 13601-1409
(315) 788-3531
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27311DUP
NY
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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