Individual
ANGELA PHYLLIS THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4172 BAYCHESTER AVE, BRONX, NY 10466-2122
(718) 519-1054
Mailing address
4172 BAYCHESTER AVE, BRONX, NY 10466-2122
(718) 519-1054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10466
NY
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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