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JINGLE A ANGELES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
25228 LANKFORD HIGHWAY, ONLEY, VA 23418
(757) 787-1465
Mailing address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6050

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010429
VA
363A00000X
Physician Assistant
012333-1
NY
363A00000X
Physician Assistant
25MP00193000
NJ
363A00000X
Physician Assistant
AMD-1026
HI

Other

Enumeration date
12/27/2007
Last updated
10/28/2024
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