Individual
MRS. ANGELA DENICE IMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
MEDICAL ONE STOP ROOM 12, NORMANDY DRIVE, FORT BRAGG, NC 28310-0001
(910) 396-6243
(910) 396-6224
Mailing address
5817 WEATHERFORD RD, FAYETTEVILLE, NC 28303-2658
(910) 864-2119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
103193
NC
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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