Individual
ANGELA CARMELLA CALICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1810 N WEDGEWOOD LN, #41, CEDAR CITY, UT 84721-7895
(435) 640-2097
Mailing address
1810 N WEDGEWOOD LN, #41, CEDAR CITY, UT 84721-7895
(435) 640-2097
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8081578-4810
UT
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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