Individual
ANGELA CHRISTINE ROYBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 MALECH ROAD, SAN JOSE, CA 95138
(408) 281-6555
Mailing address
209 S 24TH ST # 1, SAN JOSE, CA 95116-2802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1346528106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346528106
—
CA
Enumeration date
10/03/2018
Last updated
07/25/2023
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