Individual
ANGELA DENISE BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8550 HERITAGE PL APT 102, DETROIT, MI 48204-3595
(313) 854-4301
Mailing address
23077 GREENFIELD RD STE 455, SOUTHFIELD, MI 48075-3740
(313) 854-4301
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/29/2024
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