Individual
MS. ANGELA JACAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24 DIVISION AVE, PH, SPRING VALLEY, NY 10977-5704
(845) 570-1334
Mailing address
24 DIVISION AVE, PH, SPRING VALLEY, NY 10977-5704
(845) 570-1334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302433-1
NY
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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