Individual
ANGINETTE UNDERWOOD
Active
Individual
ANGINETTE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400343290304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2494608
—
OH
Enumeration date
06/30/2020
Last updated
06/30/2020
Update your record
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