Individual
ANGELA HAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 HOMESTEAD CT APT 104, LOS ALTOS, CA 94024-7312
(616) 716-6203
Mailing address
2220 HOMESTEAD CT APT 104, LOS ALTOS, CA 94024-7312
(616) 716-6203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61022
CA
Other
Enumeration date
05/24/2021
Last updated
05/22/2025
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