Organization
SENIOR ANGELS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEYA TRAMAINE STOCKTON (OWNER)
(313) 989-6527
Entity
Organization
Contact information
Practice address
9368 FORRER ST, DETROIT, MI 48228-2116
(313) 989-6527
Mailing address
9368 FORRER ST, DETROIT, MI 48228-2116
(313) 989-6527
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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