Individual
MRS. ANGELA MARIE MISANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
3094 W MARKET ST STE 105, FAIRLAWN, OH 44333-3617
(440) 260-8300
Mailing address
484 EASTLAND RD, BEREA, OH 44017
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
05/22/2020
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