Individual
MS. ANGIE MARIE BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1614 PLACE RD, PORT ANGELES, WA 98363-9620
(360) 457-6964
Mailing address
1614 PLACE RD, PORT ANGELES, WA 98363-9620
(360) 457-6964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024686
WA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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