Individual
MISS ANGELINA GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-8090
Mailing address
3561 FERN CIR, SEAL BEACH, CA 90740-2846
(562) 594-4196
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
697654
CA
Other
Enumeration date
09/18/2007
Last updated
07/21/2022
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