Individual
ANGELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5816 20TH ST W, BRADENTON, FL 34207-3916
(941) 580-1403
Mailing address
1013 19TH AVE W, BRADENTON, FL 34205-7654
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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