Angelina Jeanine Constable
NPI #1629285937 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1629285937
- Entity Type
- Individual
- Name
- Angelina Jeanine Constable
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Orthotic Fitter
- Enumeration Date
- May 17, 2007
- Last Updated
- Jul 17, 2008
Practice Location
- Address
- 14500 99TH AVE N
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-4478
- Phone
- (763) 898-1361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotic Fitter |
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