Individual
MRS. ANGELA WOOLEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.N.T.
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-1502
Mailing address
PO BOX 7013, LOGANSPORT, IN 46947-7013
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001375A
IN
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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