Individual
BONNIE ANGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 N SERVICE RD, MELVILLE, NY 11747-3139
(631) 844-2597
Mailing address
395 N SERVICE RD, MELVILLE, NY 11747-3139
(631) 844-2597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
406166
NY
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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