Individual
ANGELA ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 N MADISON ST, TROY, OH 45373-2840
(937) 524-8071
Mailing address
480 N MADISON ST, TROY, OH 45373-2840
(937) 524-8071
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5502647
—
OH
Enumeration date
11/13/2020
Last updated
11/13/2020
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