Provider Demographics
NPI:1659757573
Name:CURRY, ANGEL
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:CURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 OLEANDER ST
Mailing Address - Street 2:C
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4815
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:772 OLEANDER ST
Practice Address - Street 2:C
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4815
Practice Address - Country:US
Practice Address - Phone:951-522-9079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 279460164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse