Individual
ANGELIQUE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
290 MERRIMACK ST, LAWRENCE, MA 01843-1782
(978) 860-5039
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1001856
MA
Other
Enumeration date
09/05/2024
Last updated
09/06/2024
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