The holder whose full name is LaSalle, Angela Phyllis,come from Indianapolis IN,hold the CSR-Physician license(NO.01047101B) which status is Active.
| Name | LaSalle, Angela Phyllis |
|---|---|
| License Number | 01047101B |
| License Type | CSR-Physician |
| License Status | Active |
| City | Indianapolis |
| State | IN |