Individual
ANGEL MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(313) 506-2552
Mailing address
3622 E WILLIS ST, DETROIT, MI 48207-1804
(313) 506-2552
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501015565
MI
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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