Individual
ANGELIA DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S CHURCH ST, APT 2A, BELLEVILLE, IL 62220-2266
(618) 606-3734
Mailing address
PO BOX 304, EAST SAINT LOUIS, IL 62202-0304
(618) 606-3734
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
1504015
IL
372600000X
Adult Companion
1504015
IL
374U00000X
Home Health Aide
1504015
IL
376J00000X
Homemaker
Primary
1504015
IL
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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