Individual
ANGELA VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 TURNER PL, XENIA, OH 45385-9410
(937) 825-3867
Mailing address
1251 TURNER PL, XENIA, OH 45385-9410
(937) 825-3867
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
40063210607
OH
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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