IndividualActive
Angela Wall
NPI 1316525041 · Licensed Practical Nurse · Pomona, CA
Provider details
- NPI number
- 1316525041
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 287961 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
845 E Arrow Hwy
Pomona, CA 91767-2535
Phone: (909) 964-1585
Approximate (ZIP-level) locationGet directions
Mailing address
845 E Arrow Hwy
Pomona, CA 91767-2535
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2021-04-01
- Certified
- 2021-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.