Individual
ANGELA MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 MAITLAND CENTER COMMONS BLVD STE 212, MAITLAND, FL 32751-7270
(407) 636-3530
Mailing address
2700 WESTHALL LN STE 207, MAITLAND, FL 32751-7478
(407) 636-3530
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008332900
—
FL
Enumeration date
07/02/2017
Last updated
07/02/2017
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