NPI 1033307913

Angie Marie Ball, LMP

Practitioner Specialist Port Angeles, WA

Practice location

Address: 1614 Place Rd, Port Angeles, WA 98363-9620
Phone: (360) 457-6964

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00024686 (WA)

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Registry record

NPI: 1033307913
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2007
Record last updated: 4 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.