ANGELIQUE WISE

TIGARD, OR
NPI1598058786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  lmt#17875)
Enumeration Date2011-05-20
Last Update Date2018-03-17
Business Address
ANGELIQUE WISE lmt
14340 SW 80TH PL
TIGARD, OR 97224-8162
Phone number: 971-269-4080
Mailing Address
ANGELIQUE WISE lmt
14340 SW 80TH PL
PORTLAND, OR 97224-8162
Phone number: 971-269-4080