Provider Demographics
NPI:1952077406
Name:ALLER, ANGELES G
Entity Type:Individual
Prefix:
First Name:ANGELES
Middle Name:G
Last Name:ALLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8431 N GENERAL GRANT WAY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5876
Mailing Address - Country:US
Mailing Address - Phone:509-280-2214
Mailing Address - Fax:
Practice Address - Street 1:8431 N GENERAL GRANT WAY
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5876
Practice Address - Country:US
Practice Address - Phone:509-280-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter