Individual
ANGELA R IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
1805 E SHOREWAY DR APT A, SANDUSKY, OH 44870-4437
(567) 901-4437
Mailing address
1805 E SHOREWAY DR APT A, SANDUSKY, OH 44870-4437
(567) 901-4437
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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