Individual
ANGELA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
58 VIRGINIA ST, SPRINGFIELD, MA 01108-2623
(470) 209-5678
Mailing address
58 VIRGINIA ST, SPRINGFIELD, MA 01108-2623
(470) 209-5678
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/22/2020
About Stedi
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