Individual
ANGELA DIANE ATWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-4700
Mailing address
PO BOX 4155, PASO ROBLES, CA 93447-4155
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
781692
CA
Other
Enumeration date
04/20/2011
Last updated
06/11/2012
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