Individual
ANGELA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3647 CEDARVALE RD, SYRACUSE, NY 13215-9765
(315) 399-9666
Mailing address
3647 CEDARVALE RD, SYRACUSE, NY 13215-9765
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
752809
NY
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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