Individual
ANGEL PERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 UNION BLVD, ENGLEWOOD, OH 45322-2103
(937) 998-8009
(937) 998-8028
Mailing address
351 BUNGALOW RD, DAYTON, OH 45417-1303
(937) 998-8009
(937) 998-8028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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