Individual
MRS. JAELAH DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-8329
(774) 441-6421
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-8105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00422
RI
363A00000X
Physician Assistant
Primary
PA7178
MA
Other
Enumeration date
11/08/2006
Last updated
11/23/2020
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