MS. Angelique Lynette Vailes
NPI #1124593686 in Hyattsville, Maryland
Provider Information
- NPI Number
- 1124593686
- Entity Type
- Individual
- Name
- MS. Angelique Lynette Vailes
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 10, 2018
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 3510 65TH AVE UNIT 10F
- City
- Hyattsville
- State
- Maryland
- ZIP Code
- 20784-2464
- Phone
- (240) 375-1670
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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