Angelo, Tequila Teshelle

Angelo, Tequila Teshelle is an individual health care provider with primary practice located at 4343 Williamsbourgh Dr , Sacramento CA 95823-2006. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Angelo, Tequila Teshelle can be contacted via phone (916) 395-3552.

Contact Information

Primary practice address
4343 Williamsbourgh Dr Sacramento CA 95823-2006
Phone: (916) 395-3552
Fax: (916) 473-5766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1881968048
LBN Legal business name Angelo, Tequila Teshelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2012
Last updated Mar 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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