Individual
ANGELIC TOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
US HWY 491, SHIPROCK, NM 87420
(505) 368-7227
Mailing address
12336 ROAD 23.25 LOOP, CORTEZ, CO 81321-7701
(915) 373-9655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
57149
TX
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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