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ANGELA ROSE VANCE
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1669647046
Individual Registrant: ANGELA ROSE VANCE
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
312 DIAMOND AVE BELLE, WV 25015-1303 US
Tel: 304-949-3443 Fax: --
Tel: 304-949-3443 Fax: --
Contact information for business:
312 DIAMOND AVE BELLE, WV 25015-1303 US
Tel: 304-949-3443 Fax: --
Tel: 304-949-3443 Fax: --
Registration Information:
NPI: 1669647046
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | WV | 2007-2294 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
