Individual
ANGLIEA SHENELL LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 DEADY AVE, STOUGHTON, MA 02072-1003
(617) 516-7994
Mailing address
85 DEADY AVE, STOUGHTON, MA 02072-1003
(617) 516-7994
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
21106681
MA
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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