Individual
ANGELA ALENA GORODKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3844 KALA DR, ABILENE, TX 79606-1777
(503) 333-5933
Mailing address
3844 KALA DR, ABILENE, TX 79606-1777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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