Angela Carlisle

NPI #1518473172 in Sahuarita, Arizona

Provider Information

NPI Number: 1518473172
Entity Type: Individual
Name: Angela Carlisle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Dec 19, 2017
Last Updated: Oct 24, 2019

Practice Location

Address: 14615 S AVENIDA CUCANA
City: Sahuarita
State: Arizona
ZIP Code: 85629-8620
Phone: (503) 919-0899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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