Most Relevant Information
Provider Data
| NPI Number: | 1003561077 |
| Provider Name: | ANGEL SHEREE RICHARD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 111971 |
Most Important Dates
| Enumeration Date: | 02/17/2022 |
| Last Updated: | 07/11/2023 |
Provider Practice Location
44443 10TH ST W
LANCASTER
CA
935343346
Practice Location Phone/Fax
| Phone: | 6617262630 |
| Fax: |
Provider Mailing Location
44443 10TH ST W
LANCASTER
CA
935343346
Provider Mailing Phone/Fax
| Phone: | 6617262630 |
| Fax: |