# CRIS ANGEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619971991
- **Gender:** Man
- **Credential:** MS, DA, AEMP, HDD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC00000511 | WA | Yes |
| 171100000X | Acupuncturist | LAC0000511 | WA | — |

## Other

- **Enumeration date:** 06/02/2005
- **Last updated:** 09/18/2019