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Individual

MS. DE ANGELA T MINTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
30 BROAD ST FL 45, NEW YORK, NY 10004-2942
(212) 530-0630
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024979
NY
363A00000X
Physician Assistant
10884
GA
363A00000X
Physician Assistant
7793
AZ
363A00000X
Physician Assistant
PA14151
TX
363A00000X
Physician Assistant
PA22020
CA
363A00000X
Physician Assistant
PA61026917
WA
363A00000X
Physician Assistant
PA8892
MA

Other

Enumeration date
12/13/2011
Last updated
02/16/2023
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