Individual
MRS. ANGELA JUDITH POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38172 SUMMER RIDGE DR, MURRIETA, CA 92563-7119
(813) 440-1447
Mailing address
6136 MORONGO RD, TWENTYNINE PALMS, CA 92277-2056
(386) 795-3728
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D2603957
DRIVER LICENSE
CA
Enumeration date
02/05/2021
Last updated
02/05/2021
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