Individual
ANGELIQUE ENGELLENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2737 YOUNGSTOWN RD SE, WARREN, OH 44484-5002
(330) 369-8022
Mailing address
2737 YOUNGSTOWN RD SE, WARREN, OH 44484-5002
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.150383.MEDS-IV
OH
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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