Individual
JEFF ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2792 NAGLEE RD, TRACY, CA 95304-7309
(350) 235-3194
Mailing address
5680 BARDWELL CT, TRACY, CA 95377-8981
(510) 432-1933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48948
CA
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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