Individual
ANGELICA DE ANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76480 ROAD 419, COZAD, NE 69130-3107
(308) 320-0000
Mailing address
76480 ROAD 419, COZAD, NE 69130-3107
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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