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Individual

ANGELA RENEE WALKER-GILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
200 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009
(954) 658-6414
(954) 449-6414
Mailing address
200 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5525
(954) 658-6414
(954) 449-6414

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11840
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
MA
Enumeration date
12/01/2015
Last updated
07/09/2018
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