Individual
ANGELA DALTON COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 NC HIGHWAY 14, REIDSVILLE, NC 27320-8746
(336) 522-5095
Mailing address
124 ANDERSON RD, EDEN, NC 27288-8101
(336) 558-1318
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47443
NC
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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