Individual
ANGELA MARIE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15172 LICK RUN LYRA RD, SOUTH WEBSTER, OH 45682
(740) 778-8001
(740) 778-1725
Mailing address
15172 LICK RUN LYRA RD, SOUTH WEBSTER, OH 45682
(740) 778-8001
(740) 778-1725
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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