Individual
ANGELENE MARIE BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6915 OWLWOOD DR, MASON, OH 45040-8920
(513) 620-2887
Mailing address
6915 OWLWOOD DR, MASON, OH 45040-8920
(513) 620-2887
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC05139
OH
Other
Enumeration date
11/22/2022
Last updated
02/06/2024
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