Individual
ANGEL LOVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 GIBBON RD, CENTRAL POINT, OR 97502-8454
(541) 630-3943
Mailing address
1416 GIBBON RD, CENTRAL POINT, OR 97502-8454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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