Individual
MS. ANGELA LY'NECE CASSADIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 COLGATE ST, JERSEY CITY, NJ 07302-2202
(201) 420-7236
(201) 420-3672
Mailing address
86 COLGATE ST, JERSEY CITY, NJ 07302-2202
(201) 420-7236
(201) 420-3672
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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