Individual
ANGELA INGENDAAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 S AUBURN ST, GRASS VALLEY, CA 95945-6576
(530) 272-0537
Mailing address
PO BOX 856, OREGON HOUSE, CA 95962-0856
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A52909
CA
Other
Enumeration date
12/09/2006
Last updated
08/31/2007
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