Individual
MRS. ANGELA MARIE BLACKENBERRY-ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5270 CR 25, CARDINGTON, OH 43315-9207
(419) 768-2744
(419) 768-2744
Mailing address
5270 CR 25, CARDINGTON, OH 43315-9207
(419) 768-2744
(419) 768-2744
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN108888
OH
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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