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Individual

ANGELINE POULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
7601 HOSPITAL DR STE 204, SACRAMENTO, CA 95823-5408
(916) 681-6510
(916) 681-6544
Mailing address
5373 NOYACK WAY, SACRAMENTO, CA 95835
(916) 681-6510
(916) 681-6544

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18161
CA

Other

Enumeration date
08/06/2008
Last updated
08/06/2008
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