Individual
ANGELA KRELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SURGICAL/MEDICAL AS
Contact information
Practice address
305 W. JACKSON SUITE 402, CARBONDALE, IL 62901
(618) 529-4711
(618) 998-8809
Mailing address
500 RUSHING DRIVE, HERRIN, IL 62948
(618) 998-8808
(618) 998-8809
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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