Individual
MRS. ANJELICA DUNLAP MAMUDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
23670 RADCLIFT ST, OAK PARK, MI 48237-1932
(248) 269-3255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704324253
MI
Other
Enumeration date
01/25/2023
Last updated
03/19/2024
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