ANGELA K WICKSTRUM

GRAPEVINE, TX
NPI1912137977
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA04934)
Enumeration Date2009-07-23
Last Update Date2015-01-12
Business Address
MS. ANGELA K WICKSTRUM PA-C
5301 WILLIAM D TATE AVE
GRAPEVINE, TX 76051-7357
Phone number: 817-251-2101
Mailing Address
MS. ANGELA K WICKSTRUM PA-C
PO BOX 9101
COPPELL, TX 75019-9494
Phone number: 972-745-7500
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