Individual
ANGELO GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16540 WISCONSIN ST, DETROIT, MI 48221-2964
(313) 671-4738
Mailing address
1100 WILDWOOD LN, CANTON, MI 48188-5080
(313) 671-4738
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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