Individual
ANGELLA UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 JEFFERSON ST APT 4E, YONKERS, NY 10701-4734
(914) 645-3276
Mailing address
108 JEFFERSON ST APT 4E, YONKERS, NY 10701-4734
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333658
NY
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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