Individual
MRS. ANGELINA CLARISE GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2011 FOXFIRE RD NE, CLEVELAND, TN 37323-5740
(423) 284-0099
Mailing address
2011 FOXFIRE RD NE, CLEVELAND, TN 37323-5740
(423) 284-0099
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
LPN0000061115
TN
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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