Individual
MRS. ANGELA RAE BLASDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5543 MICHIGAN RD, ARCADE, NY 14009-9103
(716) 258-0893
Mailing address
5543 MICHIGAN ROAD, ARCADE, NY 14009-9735
(716) 258-0893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290940-1
NY
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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