Search › Missouri › 171M00000X
Angela Light
NPI 1932538709 · on the registry since 2013 · sole proprietor
Practice
- Address
- 12920 Shafer Rd
Licking, MO 65542 - Phone
- (417) 260-4160
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri