Individual
ANGELA NOEL CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
87 N CLINTON AVE, SUITE 429, ROCHESTER, NY 14604-1455
(585) 745-0571
Mailing address
7 LIFETIME WAY, APT 705, BROCKPORT, NY 14420-2372
(585) 745-0571
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
351127
NY
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/16/2023
Last updated
01/13/2025
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