ANASTACIA ANGEL

SALEM, OR
NPI1033310172
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
-- ANASTACIA ANGEL QMHA
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-561-2722
Mailing Address
-- ANASTACIA ANGEL QMHA
4533 ARABIAN CT SE
SALEM, OR 97301-6024
Phone number: 503-361-3722