Individual
ANGELA CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17681 TEPPERT ST, DETROIT, MI 48234-3845
(313) 598-6664
Mailing address
22881 GROVE ST, SAINT CLAIR SHORES, MI 48080-1860
(313) 598-6664
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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