Individual
ANGELICA SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506-3155
(855) 832-6727
Mailing address
3539 RICHMOND ST NW, WALKER, MI 49534-1208
(616) 649-8724
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/28/2019
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