Provider Demographics
NPI:1730308651
Name:AGRIOS, ANGELA CHRISTY (ND)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:CHRISTY
Last Name:AGRIOS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:29020 AGOURA RD STE A8
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2589
Mailing Address - Country:US
Mailing Address - Phone:818-735-4966
Mailing Address - Fax:818-597-8668
Practice Address - Street 1:29020 AGOURA RD STE A8
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2589
Practice Address - Country:US
Practice Address - Phone:818-735-4966
Practice Address - Fax:818-597-8668
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-232175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath