Individual
ANGELINA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17810 137TH AVE, JAMAICA, NY 11434-4020
(917) 515-4828
Mailing address
17810 137TH AVE, JAMAICA, NY 11434-4020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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