Individual provider · NPI-1

Devin Malik Anglin

Driver · Rochester, NY

NPI number1992237556
StatusActive
Last updated in NPPESMar 31, 2017

Details

NPI
1992237556
Entity type
Individual (NPI-1)
Name
Mr. Devin Malik Anglin
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2017
Last updated
Mar 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver––Yes

Practice location

106 Avery St
Rochester, NY 14606-1904

Phone 585-957-3177

Mailing address

106 Avery St
Rochester, NY 14606-1904

Phone 585-957-3177

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