Angels of Ark, LLC

NPI #1285512798 in Medford, Oregon

Provider Information

NPI Number
1285512798
Entity Type
Organization
Organization Name
Angels of Ark, LLC
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 22, 2025
Last Updated
Aug 22, 2025

Practice Location

Address
133 PINNER LN APT 4
State
Oregon
ZIP Code
97501-7528
Phone
(281) 650-0945

Authorized Official

Name
MANGA TELIDEVARA, NP
Title
OWNER
Phone
(281) 650-0945

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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