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Individual

ANGELA ANGELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
7400 MERTON MINTTER BLVD, SAN ANTONIO, TX 78229
(210) 617-5300
Mailing address
7400 MERTON MINTER, SAN ANTONIO, TX 78229
(210) 671-5300

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
880325
LA

Other

Enumeration date
01/14/2025
Last updated
01/14/2025
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