Individual
ANGELA DAVAUGHN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16840 SNOWDEN ST, DETROIT, MI 48235-4230
(313) 854-1105
Mailing address
16840 SNOWDEN ST, DETROIT, MI 48235-4230
(313) 854-1105
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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