Individual
ANGELA JANIECE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1000 E BURNETT ST APT 65, ENNIS, TX 75119-6131
(469) 285-2887
Mailing address
1000 E BURNETT ST APT 65, ENNIS, TX 75119-6131
(469) 285-2887
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308079
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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