Provider Demographics
NPI:1427284132
Name:SANER, ANGELIA M (NCLMT)
Entity type:Individual
Prefix:MRS
First Name:ANGELIA
Middle Name:M
Last Name:SANER
Suffix:
Gender:F
Credentials:NCLMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 W ROSSER AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-3751
Mailing Address - Country:US
Mailing Address - Phone:701-391-7324
Mailing Address - Fax:
Practice Address - Street 1:123 W ROSSER AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-3751
Practice Address - Country:US
Practice Address - Phone:701-391-7324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND869174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist