Individual
ANGELIQUE FENSLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5828 HAYES RD, ANDOVER, OH 44003-9741
(440) 855-1882
Mailing address
5828 HAYES RD, ANDOVER, OH 44003-9741
(440) 855-1882
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401196780211
OH
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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