Individual
DOMINIC MATTHEW ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 453-1008
Mailing address
3433 W SHAW AVE STE 108, FRESNO, CA 93711-3229
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
741117
CA
Other
Enumeration date
04/02/2024
Last updated
04/29/2025
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