Individual
ANGIE VOGELSANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, CST
Contact information
Practice address
611 N MONTESANO ST, WESTPORT, WA 98595-9784
(360) 268-6191
Mailing address
611 N MONTESANO ST, WESTPORT, WA 98595-9784
(360) 268-6191
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00013640
WA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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