Angelique G. Sporty D.O.

NPI 1407114721 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1407114721
Gender Female
Enumeration Date 04/24/2012
Last Updated 04/24/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1900 E 4TH ST
SANTA ANA CA, 92705-3962, US
Phone (714) 967-4766
Fax (714) 967-4548
Business Location
1900 E 4TH ST
SANTA ANA CA, 92705-3962, US
Phone (714) 967-4766
Fax (714) 967-4548
Toxanomy
Taxonomy Code 390200000X
License State
License Number
Remove 1407114721 NPI Number
 

According to our database, Mrs. Angelique G. Sporty D.O. NPI is 1407114721, taxonomy code is 390200000X Angelique G. Sporty D.O. physically located at 1900 E 4th St, Santa Ana CA, 92705-3962. NPI Number Angelique G. Sporty D.O. has the Individual type.

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1407114721 NPI number is provided on an as is basis without warranty of any kind. 1407114721 is maintained by the National Plan & Provider Enumeration System. The contents of Angelique G. Sporty D.O. are for informational purposes only.