Individual
ANGELA SUE KLOOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6775 LORETTA CT, AVON, IN 46123
(317) 272-0280
Mailing address
6775 LORETTA CT, AVON, IN 46123-7894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28178406A
IN
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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