Individual
ALISA RAE ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2500 W 46TH ST STE 100, SIOUX FALLS, SD 57105-6507
(605) 335-3008
Mailing address
2500 W 46TH ST STE 100, SIOUX FALLS, SD 57105-6507
(605) 335-3008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1362
SD
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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