Provider Demographics
NPI:1205371671
Name:HUNTER, ANGELA (CDT, CPT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:CDT, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 E 222ND ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-2034
Mailing Address - Country:US
Mailing Address - Phone:216-496-7380
Mailing Address - Fax:
Practice Address - Street 1:710 E 222ND ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-2034
Practice Address - Country:US
Practice Address - Phone:216-496-7380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider