Individual
ANGELA J POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4920 BROADMOOR BLUFFS DR, COLORADO SPRINGS, CO 80906-8204
(719) 434-8737
Mailing address
4920 BROADMOOR BLUFFS DR, COLORADO SPRINGS, CO 80906-8204
(719) 660-2677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT06553
LICENSURE
TX
Enumeration date
08/16/2007
Last updated
06/30/2015
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