Individual
ANGELITA CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTL
Contact information
Practice address
2455 LARKEY LN, WALNUT CREEK, CA 94597-2910
(925) 848-4751
Mailing address
2455 LARKEY LN, WALNUT CREEK, CA 94597-2910
(925) 848-4751
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OT1504
CA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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