Individual
ANGELYNN KITZEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1287B ARGUELLO BLVD, SAN FRANCISCO, CA 94122-2755
(312) 933-4488
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(312) 933-4488
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
201607732NP-PP
OR
Other
Enumeration date
10/06/2016
Last updated
12/06/2016
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