Individual
ALEXIS NICOLE-LYNN DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 ARLINGTON AVE # MS 1027, TOLEDO, OH 43614-2595
(419) 530-5408
Mailing address
48555 STONEACRE DR, MACOMB, MI 48044-1884
(586) 703-5726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008619RX
OH
Other
Enumeration date
12/30/2022
Last updated
06/03/2025
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