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Individual

MR. MICHAEL ANGELETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS RD CSCS

Contact information

Practice address
2513 BIGGS AVE, 37 AMDS/SGPZ, LACKLAND AFB, TX 78236
(210) 671-7481
(210) 447-9547
Mailing address
2513 BIGGS AVE, 37 AMDS/SGPZ, LACKLAND AFB, TX 78236
(210) 671-7481
(210) 447-9547

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000577
CT

Other

Enumeration date
10/05/2005
Last updated
01/10/2008
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