Angel Elliott
Technician, Attendant Care Provider in New London, NC. Individual provider (NPI-1).
NPI number1962010108
StatusActive
Last updated in NPPESJul 14, 2020
Details
- NPI
- 1962010108
- Entity type
- Individual (NPI-1)
- Name
- Angel Elliott
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2020
- Certification date
- Jul 14, 2020
- Last updated
- Jul 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
911 Us Hwy 52 NNew London, NC 28127
Phone 704-438-8483
Mailing address
911 Us Hwy 52 NNew London, NC 28127
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