Individual
ANGELIC SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 RIVERWOOD DR, LONGVIEW, TX 75604-6228
(318) 834-3898
Mailing address
1007 RIVERWOOD DR, LONGVIEW, TX 75604-6228
(318) 834-3898
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
1744P3200X
Prosthetics Case Management
—
TX
251B00000X
Case Management Agency
Primary
—
TX
Other
Enumeration date
11/30/2016
Last updated
04/18/2025
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