Individual
ANGELA DELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-7879
Mailing address
10095 COUNTY ROAD 3010, ROLLA, MO 65401-7751
(314) 681-7100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109567
MO
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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