The holder whose full name is Fontanilla, Angelita Devega,come from Indianapolis IN,hold the Physician license(NO.01037992A) which status is Inactive.
| Name | Fontanilla, Angelita Devega |
|---|---|
| License Number | 01037992A |
| License Type | Physician |
| License Status | Inactive |
| City | Indianapolis |
| State | IN |