Individual
MS. KATHERINE RAE ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1720 MOUNTAIN VIEW AVE, LOMA LINDA, CA 92354-1727
(909) 796-6915
Mailing address
11524 CHAPMAN AVE, LOMA LINDA, CA 92354-3954
(909) 725-4288
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
818775
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95015701
CA
Other
Enumeration date
01/29/2020
Last updated
11/05/2020
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