Individual
ANGEL DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13350 VISTULA DR, BRISTOL, IN 46507-8511
(574) 226-2025
Mailing address
13350 VISTULA DR, BRISTOL, IN 46507-8511
(574) 226-2025
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27066750A
IN
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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