Individual
ANGELA MICHELE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3956 MOUNT ELLIOTT ST, DETROIT, MI 48207-1841
(313) 925-4540
(313) 925-4604
Mailing address
3956 MOUNT ELLIOTT STREET, DETROIT, MI 48207-1841
(313) 925-4540
(313) 925-4604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704198201
MI
Other
Enumeration date
08/29/2009
Last updated
12/03/2015
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