Individual
ANGELA IVY GUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11155 DOLFIELD BLVD STE 110, OWINGS MILLS, MD 21117-3289
(410) 517-2624
Mailing address
11155 DOLFIELD BLVD STE 110, OWINGS MILLS, MD 21117-3289
(410) 517-2624
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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