Individual provider · NPI-1

Angelyn Anderson

Doula · Chicago, IL

NPI number1366780462
StatusActive
Last updated in NPPESJan 24, 2013

Details

NPI
1366780462
Entity type
Individual (NPI-1)
Name
Angelyn Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 24, 2013
Last updated
Jan 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374J00000X Doula––Yes

Practice location

1604 W Juneway Ter
Chicago, IL 60626-1106

Phone 847-780-6466

Mailing address

Po Box 5611
Attn: Angelyn M. Anderson
Chicago, IL 60680

Phone 847-780-6466

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