Individual
ANGELA DANIELLE BANCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 SUNSET DR E APT 12, CHAMPLIN, MN 55316-1363
(763) 443-9602
Mailing address
30 SUNSET DR E APT 12, CHAMPLIN, MN 55316-1363
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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