ANGELS OF ARK, LLC

MEDFORD, OR
NPI1285512798
Entity TypeOrganization
Authorized ContactMANGA TELIDEVARA
Owner
281-650-0945
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2025-08-22
Last Update Date2025-08-22
Business Address
ANGELS OF ARK, LLC
133 PINNER LN APT 4
MEDFORD, OR 97501-7528
Phone number: 281-650-0945
Mailing Address
ANGELS OF ARK, LLC
133 PINNER LN APT 4
MEDFORD, OR 97501-7528
Phone number: 281-650-0945