Individual
ANGILA J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22 SKYLINE DR, CANFIELD, OH 44406-1233
(330) 398-1249
Mailing address
22 SKYLINE DR, CANFIELD, OH 44406-1233
(330) 398-1249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.142614.MEDS-IV
OH
Other
Enumeration date
12/16/2019
Last updated
11/06/2024
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