Individual
CHLOE JOHANNA ANGELLO SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
(866) 377-2778
Mailing address
7321 BALMER ST BLDG 570, HILL AFB, UT 84056-5012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116030651
VA
207Q00000X
Family Medicine Physician
MD473259
PA
Other
Enumeration date
06/09/2017
Last updated
03/06/2025
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