Individual
ANGELA R CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19991 COUNTRY CLUB DR, HARPER WOODS, MI 48225-1621
(313) 623-4984
Mailing address
19991 COUNTRY CLUB DR, HARPER WOODS, MI 48225-1621
(313) 623-4984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704282508
MI
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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