Individual
MS. ANGELA M FAGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14164 RUTHERFORD ST, DETROIT, MI 48227-1844
(734) 469-8820
Mailing address
14164 RUTHERFORD ST, DETROIT, MI 48227-1844
(734) 469-8820
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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