Individual
ANGELA LAVON THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39393 VAN DYKE AVE, STERLING HEIGHTS, MI 48313-4635
(248) 910-6217
Mailing address
29601 WHARTON CT, NOVI, MI 48377-2195
(248) 910-6217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704266725
MI
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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