Individual
AMY MICHELE ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
52 GATSBY DR APT 1, RAYNHAM, MA 02767-8073
(508) 208-0552
Mailing address
52 GATSBY DR APT 1, RAYNHAM, MA 02767-8073
(508) 208-0552
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96466
MA
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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