Individual
ANGELA KOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, BHA
Contact information
Practice address
4429 RABIDUE RD, CLYDE, MI 48049-2926
(810) 334-4481
Mailing address
4429 RABIDUE RD, CLYDE, MI 48049-2926
(810) 334-4481
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
246ZS0410X
Surgical Technologist
93807
—
246ZX2200X
Orthopedic Assistant
93807
—
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
E7830A
MI
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/01/2016
Last updated
04/16/2016
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