Individual
MISS ANGIE PETRAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5241 N MAPLE AVE, FRESNO, CA 93740-0001
(559) 278-4240
Mailing address
12347 N VIA IL PRATO AVE, CLOVIS, CA 93619-8733
(559) 906-4964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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