Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD041773 | DC |
NPI | 1023124583 |
---|---|
Provider Name | Angela Renae Canady |
First Address | Washington, DC 20006 |
Second Address | Washington, DC 20006-1017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 31/07/2017 |