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Individual

ANGELINA MELISSA CANDELARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4 RIDGEWOOD AVE, BRENTWOOD, NY 11717-2106
(813) 453-4118
Mailing address
4 RIDGEWOOD AVE, BRENTWOOD, NY 11717-2106
(813) 453-4118

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329214-1
NY

Other

Enumeration date
11/07/2017
Last updated
11/07/2017
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