Individual
SAGE ANGELISANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 PARK PLZ, WYOMISSING, PA 19610-1398
(610) 743-0704
Mailing address
104 GLENFIELD CT, READING, PA 19609-2145
(610) 743-0704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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