Individual
ANGELA ADELE VASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
3183 DUNCAN LN, SAN LUIS OBISPO, CA 93401-6781
(805) 788-2144
(805) 788-2045
Mailing address
PO BOX 1489, SAN LUIS OBISPO, CA 93406-1489
(805) 788-2144
(805) 788-2045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
561980
CA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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