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Organization

ANGELA I INGENDAAY M D PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELA I INGENDAAY M.D. (CEO/MD)
(530) 559-1342
Entity
Organization

Contact information

Practice address
150 S AUBURN ST, GRASS VALLEY, CA 95945-6576
(530) 559-1342
(530) 692-7020
Mailing address
PO BOX 856, OREGON HOUSE, CA 95962-0856
(530) 559-1342
(530) 692-7020

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
12/02/2020
Last updated
02/17/2021
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