Individual
ANGELIQUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 WALDEN AVE, CHEEKTOWAGA, NY 14225-4914
(716) 894-7777
Mailing address
1680 WALDEN AVE, CHEEKTOWAGA, NY 14225-4914
(716) 894-7777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
750384
NY
164W00000X
Licensed Practical Nurse
303793
NY
Other
Enumeration date
08/16/2017
Last updated
02/15/2021
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