Individual
ANGELLA NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 WILAWANA RD, SAYRE, PA 18840-9439
(607) 624-7452
Mailing address
1412 WILAWANA RD, SAYRE, PA 18840-9439
(607) 624-7452
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302439
NY
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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