Individual
ANGELA RAE CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
455 SAINT MICHAELS DR, PHYSICIAN PRACTICES, SANTA FE, NM 87505-7601
(505) 913-4660
Mailing address
455 SAINT MICHAELS DR, PHYSICIAN PRACTICES, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
98-PA10
NM
Other
Enumeration date
03/09/2006
Last updated
05/05/2014
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