Individual
ANGELA VAN WAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6312 US 301 N, ELLENTON, FL 34222-3066
(941) 304-2054
Mailing address
4730 REISSWOOD LOOP, PALMETTO, FL 34221-1316
(386) 681-7620
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH13332
FL
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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