Provider Demographics
NPI:1750018503
Name:SLAGLE, ANGELA YATKO
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:YATKO
Last Name:SLAGLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:YATKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1033
Mailing Address - Country:US
Mailing Address - Phone:415-310-8478
Mailing Address - Fax:
Practice Address - Street 1:169 STEUART ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-1206
Practice Address - Country:US
Practice Address - Phone:415-772-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator