NPI 1710477922

Angliea Shenell Landrum

Practitioner Prosthetist Stoughton, MA

Practice location

Address: 85 Deady Ave, Stoughton, MA 02072-1003
Phone: (617) 516-7994

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 21106681 (MA)

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Registry record

NPI: 1710477922
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2018
Record last updated: 14 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.