Individual
MICHAEL ZACHERY ANGELILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 PANTHER HOLLOW DR UNIT 9304, MARBLE FALLS, TX 78654-6132
(610) 761-9080
Mailing address
501 PANTHER HOLLOW DR UNIT 9304, MARBLE FALLS, TX 78654-6132
(610) 761-9080
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
945575
TX
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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