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Individual

ANGELA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
29 N BROOKLYN AVE, WELLSVILLE, NY 14895-1357
(646) 319-2531
Mailing address
PO BOX 1126, WELLSVILLE, NY 14895-4026

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
775986-01
NY
164W00000X
Licensed Practical Nurse
326198
NY

Other

Enumeration date
10/02/2018
Last updated
09/24/2019
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