Individual
ANGEL DERUELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 MAIN ST, FOLLANSBEE, WV 26037-1349
(724) 206-3164
Mailing address
1202 MAIN ST, FOLLANSBEE, WV 26037-1349
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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