Individual
ANGELA JADE GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5290 DIAMOND CIR APT 2, CHUBBUCK, ID 83202-2181
(214) 909-5240
Mailing address
5290 DIAMOND CIR APT 2, CHUBBUCK, ID 83202-2181
(214) 909-5240
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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