Individual
MS. ANGEL RENEE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
147 W MAIN ST, SOUTH AMHERST, OH 44001-2923
(440) 453-3645
Mailing address
147 W MAIN ST, SOUTH AMHERST, OH 44001-2923
(440) 453-3645
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
377665650998
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065333
—
OH
Enumeration date
08/31/2012
Last updated
08/31/2012
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