Individual
LEA VINAE D'ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8877
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
PHDH001084
PA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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