Angelique Vickie Cole

NPI #1811794597 in Clearlake, California

Provider Information

NPI Number: 1811794597
Entity Type: Individual
Name: Angelique Vickie Cole
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Feb 28, 2025
Last Updated: Feb 28, 2025

Practice Location

Address: 3642 BLUE GUM ST
City: Clearlake
State: California
ZIP Code: 95422-7939
Phone: (707) 266-9150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X
Lodging	177F00000X
Community Health Worker	172V00000X	Primary

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