Individual
ANGELLA MONTAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11518 174TH STREET, JAMAICA, QUEENS, NY 11434
(718) 757-0328
Mailing address
11518 174TH ST, JAMAICA, NY 11434-1848
(718) 757-0328
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312086
NY
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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