Individual
MS. ANGELIQUE RENEE SWANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4646 COTTONVILLE RD, JAMESTOWN, OH 45335-1516
(937) 768-3656
Mailing address
4646 COTTONVILLE RD, JAMESTOWN, OH 45335-1516
(937) 768-3656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
144788
OH
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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