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NPI Code Detail

MEDICARE: MICHELE ANG

MEDICARE: MICHELE ANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH57040CA

General Provider Information

NPI Number : 1003176074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE ANG
Provider Business Mailing Address
First Line : PO BOX 254518
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-4518
Country : US
Telephone Number : 951-310-0758
Fax Number :
Provider Business Practice Location Address
First Line : 3521 DEL PASO RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2800
Country : US
Telephone Number : 951-310-0758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2012
Last Update Date : 05/23/2012

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Directions to “ MICHELE ANG ” Practice Location

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