Organization
MY ANGELLL.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MILTON (PRESIDENT)
(757) 270-9453
Entity
Organization
Contact information
Practice address
1075 KENNEDY ST, NORFOLK, VA 23513-1839
(757) 675-3629
Mailing address
PO BOX 10702, NORFOLK, VA 23513-0702
(757) 675-3629
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
T60596302
VA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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