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Angela Jackson
NPI 1043636343 · on the registry since 2014
Practice
- Address
- 13 Slate Creek Dr Apt 5
Cheektowaga, NY 14227 - Phone
- (716) 536-6757
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York