Individual
ELIZABETH OLETA ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 335-5980
Mailing address
1130 E ALOSTA AVE, B201, AZUSA, CA 91702-2703
(719) 440-6037
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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