Individual
ANGIE DORAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
344 E 6TH ST, MADERA, CA 93638-3631
(559) 664-4000
Mailing address
5850 E STILL CIR, MESA, AZ 85206-3618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65411
CA
Other
Enumeration date
06/06/2023
Last updated
12/12/2024
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