Individual
MRS. ANGELITA GUADALUPE CONEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23649 POST ST, CLEARLAKE, WA 98235-7733
(360) 899-6918
Mailing address
PO BOX 184, CLEARLAKE, WA 98235-0184
(360) 899-6918
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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