Individual
MRS. ANGELA JEAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3133 S TELEGRAPH RD, DEARBORN, MI 48124-3472
(313) 565-6566
Mailing address
3133 S TELEGRAPH RD, DEARBORN, MI 48124-3472
(313) 565-6566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006820
MI
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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