Individual
ANGELA MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15860 OHIO ST, DETROIT, MI 48238-1112
(586) 801-2675
Mailing address
15860 OHIO ST, DETROIT, MI 48238-1112
(586) 801-2675
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
376K00000X
Nurse's Aide
230008404630303
MI
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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