Individual
ANGELICA REDLEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1196 ELMWOOD AVENUE, PROVIDENCE, RI 02907
(401) 467-9006
(401) 461-3143
Mailing address
1196 ELMWOOD AVENUE, PROVIDENCE, RI 02907
(401) 467-9006
(401) 461-3143
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
165
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90551
BCBS
RI
Enumeration date
11/28/2006
Last updated
07/08/2007
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