Individual
ANGELA E HOUSE
Active
Individual
ANGELA E HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4322
WI
363AM0700X
Medical Physician Assistant
9566
MN
Other
Enumeration date
06/21/2005
Last updated
07/24/2018
Update your record
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