Individual
MRS. MYCHELLE ANGSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
387 SW DANTE TER, LAKE CITY, FL 32024-4579
(386) 755-2014
Mailing address
387 SW DANTE TER, LAKE CITY, FL 32024-4579
(386) 755-2014
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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