Individual provider · Type 1 NPI
Angelique Lynette Vailes
Specialist · Hyattsville, MD
NPI number
1124593686
Active
Practice location
3510 65th Ave Unit 10F
Hyattsville, MD 20784-2464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 118206 (MD) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Hyattsville
About NPI 1124593686
Angelique Lynette Vailes's National Provider Identifier is 1124593686, issued on Oct 10, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hyattsville, MD. The record was last updated on Sep 7, 2026.