Individual provider · Type 1 NPI

Keely Augusta Angelo, MA, MS

Student in an Organized Health Care Education/Training Program · San Carlos, CA

NPI number 1083228183 Active

Practice location

610 Elm St Ste 212
San Carlos, CA 94070-3070

Call (650) 591-9623 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083228183

Keely Augusta Angelo, MA, MS's National Provider Identifier is 1083228183, issued on Sep 4, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Carlos, CA. The record was last updated on Sep 4, 2020.