Individual
ADALAI ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 LOCUST STREET, CHARLESTON, SC 29407
(843) 813-4061
Mailing address
706 LOCUST STREET, CHARLESTON, SC 29407
(843) 813-4061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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