Misty Dawn Angel
NPI #1750135810 in Charleston, West Virginia
Provider Information
- NPI Number
- 1750135810
- Entity Type
- Individual
- Name
- Misty Dawn Angel
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Apr 15, 2024
- Last Updated
- Apr 15, 2024
Practice Location
- Address
- 1522 OAKHURST DR
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25314-2442
- Phone
- (304) 601-3803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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